Alamance Manor Assisted Living LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL001156 Issued in NC

Legal business name

ALAMANCE MANOR ASSISTED LIVING LLC

Practice address

1999 South Highway 150
Mebane, NC 27302

Phone

(336) 993-7555

NPI assigned

Dec 19, 2014

Last updated

Dec 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Lee Dickerson

Title

Ceo

Phone

(336) 993-7555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1386042554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 OLD WINSTON RD",
            "address_2": "SUITE 118",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847143",
            "telephone_number": "336-993-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SOUTH HIGHWAY 150",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "27302",
            "telephone_number": "336-993-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMANCE MANOR ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-993-7555"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL001156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Mebane, NC
• Providers in Mebane, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.