Mt. Pisgah Family Care
Organization Active NPI Adult Care Home Facility · Candler, NC
NPI 1346360625 · NPPES record last updated Feb 16, 2011
Key facts
- NPI
- 1346360625
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- FCL-011-048 (NC)
- Legal business name
- MT. PISGAH FAMILY CARE
- Practice address
- 33 Upper Saw Branch Rd
Candler, NC 28715-8196 - Phone
- (828) 779-5588
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Young S Lee
- Title
- Owner
- Phone
- (828) 779-5588
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Evergreen Living 4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL-011-048 | NC | Yes |
Addresses
Primary practice location
33 Upper Saw Branch Rd
Candler, NC 28715-8196
Mailing address
PO Box 2077
Leicester, NC 28748-2077
Phone (828) 779-5588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801202 | Medicaid | NC |
Other providers in Candler, NC
- Kevin Lee Morton
- Mountain Area Enterprises Inc
- Mountain Area Health Education Center, Inc.
- Mountain Area Health Education Center, Inc.
- Mountain Mindfulness Counseling
- Richard Lehr Munger
- Jodi Lynn Murati
- Holly C Musgrove
- My Personal PT LLC
- Joseph M Myracle
All providers in Candler, NC · Adult Care Home 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 Feb 16, 2011. 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.