Mount Eagle Health Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

HC3525 Issued in NC

Legal business name

MOUNT EAGLE HEALTH CARE

Practice address

470 W Hanes Mill Rd Ste 109
Winston Salem, NC 27105-9102

Phone

(336) 776-0357

Fax

(336) 499-2002

NPI assigned

Mar 21, 2012

Organization subpart

Yes

Parent organization

MOUNT EAGLE INSTITUTEAs reported in NPPES

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

Authorized official

Name

Ms. Dorothy Edward Mmanywa, RN, MSN

Title

Director

Phone

(336) 776-8601

Specialties & licenses 2

Addresses

Part of

Mount Eagle Health Care

Locations

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1326313537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W HANES MILL RD STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059102",
            "telephone_number": "336-776-0357",
            "fax_number": "336-499-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W HANES MILL RD STE 109",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059102",
            "telephone_number": "336-776-0357",
            "fax_number": "336-499-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT EAGLE HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT EAGLE INSTITUTE",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "MMANYWA",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-776-8601",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3525",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Marie Motsinger, P.A.
• Bryan Thomas Mott
• Ryan T Mott, MD
• Steven Shi-Tsen Mou, MD
• Janelle Katie Moulder, M.D.
• Mount Eagle Health Care Greensboro, LLC
• David L Mount, PSYD
• Martha Young Mount, PA-C
• Mountainview Skin Care PC
• Talal Imad Mousallem, M.D.

• All providers in Winston Salem, NC
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.