Elon Village Homes, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL001009 Issued in 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

Last updated

Aug 3, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronnie Thurman Moore Jr. Jr., ADMINISTRATOR, PRESI

Title

President//Administrator

Phone

(336) 584-7930

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1164540225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "ELON",
            "state": "NC",
            "postal_code": "27244",
            "telephone_number": "336-584-7930",
            "fax_number": "336-584-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E HAGGARD AVE.",
            "city": "ELON",
            "state": "NC",
            "postal_code": "27244",
            "telephone_number": "336-584-7930",
            "fax_number": "336-584-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELON VILLAGE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "MOORE JR.",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "THURMAN",
        "authorized_official_title_or_position": "PRESIDENT//ADMINISTRATOR",
        "authorized_official_telephone_number": "336-584-7930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ADMINISTRATOR, PRESI"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Chisom Dimgba
• Duke Health Integrated Practice, Inc. (Kernodle Clinic Elon)
• Amanda Beal Dunens, ATC, LAT
• Suzanne Elizabeth Dvergsten, MD
• Elon University
• Alexandra Evans, PA
• Devron John Felder
• Kristin Fick
• Jarred Fisher, PA-C
• Marisa C Flores, MD

• Assisted Living Facility in Elon, NC
• Providers in Elon, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.