Megan Commedo Moravian

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-041-1142 Issued in NC

Practice address

7604 Fairhaven Rd
Browns Summit, NC 27214-9643

Phone

(336) 554-3486

NPI assigned

Nov 4, 2017

Last updated

Nov 4, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moravian Enterprises, LLC

  dba Prolific Community Resources

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greensboro, NC
  • NPI 1710489976

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official
• Moravian Family Care Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greensboro, NC
  • NPI 1134599590
  Authorized official Same address or phone
• Moravian Family Care Home II

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Browns Summit, NC
  • NPI 1083075667
  Authorized official Same address or phone
• Moravian Family Care Home LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Browns Summit, NC
  • NPI 1356853949

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official
• Renewed Minds Therapeutic Services LLC

  • Professional Counselor
  • Greensboro, NC
  • NPI 1083126676
  NPD (past) Authorized official

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509753600000",
    "number": "1356853956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053254",
            "telephone_number": "336-542-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 FAIRHAVEN RD",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149643",
            "telephone_number": "336-554-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAVIAN",
        "first_name": "MEGAN",
        "middle_name": "COMMEDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2017-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-041-1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nituya Maye
• Amy Susan McKee, MA, CCC-SLP
• Angela M Mirarchi, CRNA
• Moravian Family Care Home II
• Moravian Family Care Home LLC
• Moses Cone Medical Services, Inc. (Brown Summit Family Medicine)
• New Life Opportunitites, LLC
• NP Primary Care House Calls (Primary Care)
• Francisca Okafor
• Ariane Michelle Omari, MSW, LCSW-A

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Browns Summit, NC
• Providers in Browns Summit, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; 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.