Active NPI
Holt Manor of Alamance County, Inc
- Assisted Living Facility (Mental Illness)
- Mebane, NC
National Provider Identifier
1417275769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- MHL-001-194
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.