Organization Active NPI

Glenda's Plantation

  • Assisted Living Facility
  • Morganton, NC
National Provider Identifier
1144345612
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL012021 Issued in NC
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7804070MedicaidNC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.