Z & M Residential Villa 1

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL064026 Issued in NC

Legal business name

Z & M RESIDENTIAL VILLA 1

Practice address

10298 Pasture Rd
Middlesex, NC 27557-7200

Phone

(919) 527-4856

NPI assigned

Sep 26, 2014

Organization subpart

No

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

Authorized official

Name

Tim Mack

Title

Director

Phone

(919) 527-4856

Specialties & licenses 2

Addresses

Other names 1

• Z & M Doing business as

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1356744932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10298 PASTURE RD",
            "city": "MIDDLESEX",
            "state": "NC",
            "postal_code": "275577200",
            "telephone_number": "919-527-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10298 PASTURE RD",
            "city": "MIDDLESEX",
            "state": "NC",
            "postal_code": "275577200",
            "telephone_number": "919-527-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z & M RESIDENTIAL VILLA 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-527-4856"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL064026",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NC",
            "license": "FCL064026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Z & M",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne M Shriner, MD
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• Takia Shari Weeks-Howard
• Corrie Whitley
• Wilson Medical Center, Inc.
• Zodmu Homes LLC

• Assisted Living Facility in Middlesex, NC
• Providers in Middlesex, 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 Jan 6, 2015; 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.