Elon Village Homes, Inc.
Organization Active NPI Assisted Living Facility · Elon, NC
NPI 1164540225 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1164540225
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- HAL001009 (NC)
- Legal business name
- ELON VILLAGE HOMES, INC.
- Practice address
- 715 E Haggard Ave.
Elon, NC 27244 - Phone
- (336) 584-7930
- Fax
- (336) 584-0220
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Ronnie Thurman Moore Jr. Jr., ADMINISTRATOR, PRESI
- Title
- President//Administrator
- Phone
- (336) 584-7930
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL001009 | NC | Yes |
Addresses
Primary practice location
715 E Haggard Ave.
Elon, NC 27244
Mailing address
PO Box 245
Elon, NC 27244
Phone (336) 584-7930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7802245 | Medicaid | NC |
Other providers in Elon, NC
- Cynthia Chisom Dimgba
- Duke Health Integrated Practice, Inc.
- Amanda Beal Dunens
- Suzanne Elizabeth Dvergsten
- Elon University
- Alexandra Evans
- Devron John Felder
- Kristin Fick
- Jarred Fisher
- Marisa C Flores
All providers in Elon, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.