Medical Facilities of America LXXV (75) LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0527 Issued in NC

Legal business name

MEDICAL FACILITIES OF AMERICA LXXV (75) LP

Doing business as

Lexington Health Care Center

Practice address

17 Cornelia St
Lexington, NC 27292-4140

Phone

(336) 242-1349

Fax

(336) 242-1380

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Claude Novel Martin III

Title

Cfo, Mfa Inc. General Partner

Phone

(504) 776-7526

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Lexington Health Care Center Doing business as

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1407949241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184374",
            "telephone_number": "540-989-3618",
            "fax_number": "540-774-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CORNELIA ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924140",
            "telephone_number": "336-242-1349",
            "fax_number": "336-242-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FACILITIES OF AMERICA LXXV (75) LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NOVEL",
        "authorized_official_title_or_position": "CFO, MFA INC. GENERAL PARTNER",
        "authorized_official_telephone_number": "504-776-7526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0527",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0527",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340601P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REST HOME PROVIDER NUMBER",
            "identifier": "7801685",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Danielle McMillian, LCMHC, CRC
• Crystal K McNeely, COTA/L
• Diana Elizabeth McNeil, NP-C
• John B McWhorter, OD
• Thomas S. McWhorter, OD
• Medical Group of the Triad, PA
• Orien Ray Medley
• Melissa J. Medlin
• Medstaffpc
• Amy Mercer, MS, LAT, ATC

• Skilled Nursing Facility in Lexington, NC
• Providers in Lexington, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.