Active NPI
Glenda's Plantation
- Assisted Living Facility
- Morganton, NC
National Provider Identifier
1144345612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- FCL012021
- Legal business name
- GLENDA'S PLANTATION
- Practice address
- 4332 Bollinger Gap St
Morganton, NC 28655-9124 - Phone
- (828) 584-6527
- Fax
- (828) 584-1367
- NPI assigned
- Mar 21, 2007
- Last updated
- Jul 8, 2008
- 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
- Glenda Michaels
- Title
- Owner
- Phone
- (828) 585-6527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FCL012021 | NC | Primary |
Addresses
Primary practice location
4332 Bollinger Gap St
Morganton, NC 28655-9124
Mailing address
4332 Bollinger Gap St
Morganton, NC 28655-9124
Phone (828) 584-6527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804070 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1144345612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4332 BOLLINGER GAP ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286559124",
"telephone_number": "828-584-6527",
"fax_number": "828-584-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4332 BOLLINGER GAP ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286559124",
"telephone_number": "828-584-6527",
"fax_number": "828-584-1367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENDA'S PLANTATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "MICHAELS",
"authorized_official_first_name": "GLENDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-585-6527"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "FCL012021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804070",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.