Mountain Hart Retirement LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL044021 Issued in NC

Legal business name

MOUNTAIN HART RETIREMENT LLC

Practice address

67 Loving Way
Clyde, NC 28721-9471

Phone

(828) 452-3822

Fax

(828) 456-3700

NPI assigned

Feb 9, 2007

Last updated

Aug 22, 2020By 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

Ms. Mary Allen

Title

Administrator

Phone

(828) 452-3822

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285775494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LOVING WAY",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219471",
            "telephone_number": "828-452-3822",
            "fax_number": "828-456-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 LOVING WAY",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219471",
            "telephone_number": "828-452-3822",
            "fax_number": "828-456-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HART RETIREMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-452-3822",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL044021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803823",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynette Mount, MS, LAT, ATC
• Mountain Area Recovery Center
• Mountain Area Recovery Center, Inc.
• Mountain Audiology, Inc.
• Mountain Eye Associates, PLLC.
• Mountain Laurel Dermatology, PLLC
• Mountain Medical Associates LLP
• Brandi Moziak, PA
• Jennifer Mroz, MS, LAT, ATC
• Olivia Rose Muse, OT

• Adult Care Home Facility in Clyde, NC
• Providers in Clyde, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.