Active NPI
Moravian Family Care Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greensboro, NC
National Provider Identifier
1134599590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 041-1025
- Legal business name
- MORAVIAN FAMILY CARE HOME
- Practice address
- 2905 Holmes Rd
Greensboro, NC 27405-4621 - Phone
- (336) 554-3486
- Fax
- (336) 554-3486
- NPI assigned
- Sep 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Commedo Moravian
- Title
- Owner
- Phone
- (336) 554-3486
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 041-1025 | NC | Primary |
Addresses
Primary practice location
2905 Holmes Rd
Greensboro, NC 27405-4621
Mailing address
7604 Fairhaven Rd
Browns Summit, NC 27214-9643
Phone (336) 554-3486
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443484800000",
"number": "1134599590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7604 FAIRHAVEN RD",
"city": "BROWNS SUMMIT",
"state": "NC",
"postal_code": "272149643",
"telephone_number": "336-554-3486",
"fax_number": "336-358-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 HOLMES RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274054621",
"telephone_number": "336-554-3486",
"fax_number": "336-554-3486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORAVIAN FAMILY CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A",
"authorized_official_last_name": "MORAVIAN",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "COMMEDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-554-3486"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "041-1025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.