Active NPI
Landrum, Inc.
Doing business as Visiting Angels of Mooresville
- Home Health Agency
- Mooresville, NC
National Provider Identifier
1447465554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3210
- Legal business name
- LANDRUM, INC.
- Doing business as
- Visiting Angels of Mooresville
- Practice address
- 542 Williamson Rd
Suite 5
Mooresville, NC 28117-8193 - Phone
- (704) 663-1065
- NPI assigned
- May 11, 2007
- Last updated
- Aug 22, 2020
- 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
- Tracy R. Landrum
- Title
- Director
- Phone
- (704) 663-1065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3210 | NC | Primary |
Addresses
Primary practice location
542 Williamson Rd
Suite 5
Mooresville, NC 28117-8193
Mailing address
542 Williamson Rd
Suite 5
Mooresville, NC 28117-8193
Phone (704) 663-1065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418114 | Medicaid | NC |
Other names 1
- Visiting Angels of Mooresville
National Provider Directory
National Provider Directory- Tax ID family
- Landrum Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
542 Williamson Rd
Ste 5
Mooresville, NC 28117
Phone (704) 663-1065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447465554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 WILLIAMSON RD",
"address_2": "SUITE 5",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178193",
"telephone_number": "704-663-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 WILLIAMSON RD",
"address_2": "SUITE 5",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178193",
"telephone_number": "704-663-1065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDRUM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LANDRUM",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "704-663-1065"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418114",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Visiting Angels of Mooresville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mooresville, NC
- Lakeshore Women's Specialist, PC
- Lakeshore Women's Specialist, PC
- Lakeside Surgical Associates, PA
- Brian O Landis, LCMHCA
- Britney Leigh Landis, PA-C
- Landrum, Inc. (Visiting Angels of Mooresville)
- Cassandra Lang, PHARMD
- Holden Langdon, D.M.D.
- Ronald Scott Langdon, D.D.S.,PA
- Langtree Chiropractic, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.