Organization Active NPI

Holt Manor of Alamance County, Inc

  • Assisted Living Facility (Mental Illness)
  • Mebane, NC
National Provider Identifier
1417275769
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
MHL-001-194 Issued in NC
Legal business name
HOLT MANOR OF ALAMANCE COUNTY, INC
Practice address
1127 Fieldstone Dr
Mebane, NC 27302-9179
Phone
(336) 578-5774
Fax
(919) 563-0539
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Ms. Rhonda D Holt
Title
Administrative Director
Phone
(919) 563-0539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X MHL-001-194 NC Primary

Addresses

Primary practice location

1127 Fieldstone Dr
Mebane, NC 27302-9179

Mailing address

1127 Fieldstone Dr
Mebane, NC 27302-9179
Phone (336) 578-5774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1417275769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 FIELDSTONE DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029179",
            "telephone_number": "336-578-5774",
            "fax_number": "919-563-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 FIELDSTONE DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029179",
            "telephone_number": "336-578-5774",
            "fax_number": "919-563-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT MANOR OF ALAMANCE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "919-563-0539",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-001-194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.