Erica Teresa Merritt
Individual provider Active NPI Adult Care Home Facility · Willard, NC
NPI 1376863423 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1376863423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- FCL-082-025 (NC)
- Practice address
- 912 Buckhorn Rd
Willard, NC 28478-9678 - Phone
- (910) 631-7021
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FCL-082-017 | NC | MD | Primary Care Clinic/Center |
| FCL-082-025 | NC | MD | Adult Care Home Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Family Care Home | Adult Care Home | Current |
Accepting new patients |
| Sereniy Family Care Home | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | FCL-082-017 | NC | |
| Adult Care Home Facility | 311ZA0620X | FCL-082-025 | NC | Yes |
Addresses
Primary practice location
912 Buckhorn Rd
Willard, NC 28478-9678
Mailing address
1436 Bland School Rd
Harrells, NC 28444-7609
Phone (910) 532-4805
Other providers in Willard, NC
- Eldo, Inc
- Meghan Jane Gallen
- Nicole Rouse Glenn
- Green Acres Family Care Home
- Karon'S Family Care Home
- Mind of Hope Community Living Program, Inc
- Mind of Hope Psychology Services, Inc.
- Christopher Murphy
- Nevaeh'S Dream Family Home Care
- Nataleigh Hitt Plage
All providers in Willard, 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 14, 2025. 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.