NPIMap

Organization Active NPI

Georgann Y. Mathis

  • Adult Care Home Facility
  • Bakersville, NC
National Provider Identifier
1285964155
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL 061010 Issued in NC
Legal business name
GEORGANN Y. MATHIS
Practice address
47 Piney Haven Dr
Bakersville, NC 28705-8140
Phone
(828) 688-1570
Fax
(828) 688-2965
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Mrs. Georgann Yeager Mathis
Title
Administrator
Phone
(828) 688-2965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL 061010 NC Primary

Addresses

Primary practice location

47 Piney Haven Dr
Bakersville, NC 28705-8140

Mailing address

47 Piney Haven Dr
Bakersville, NC 28705-8140
Phone (828) 688-1570

Other names 1

  • White Oak Family Care Home II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Georgann Y Mathis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1285964155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PINEY HAVEN DR",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287058140",
            "telephone_number": "828-688-1570",
            "fax_number": "828-688-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PINEY HAVEN DR",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287058140",
            "telephone_number": "828-688-1570",
            "fax_number": "828-688-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGANN Y. MATHIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "GEORGANN",
        "authorized_official_middle_name": "YEAGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-688-2965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL 061010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Family Care Home II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.