Organization Active NPI

Landrum, Inc.

Doing business as Visiting Angels of Mooresville

  • Home Health Agency
  • Mooresville, NC
National Provider Identifier
1447465554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3210 Issued in NC
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3418114MedicaidNC

Other names 1

  • Visiting Angels of Mooresville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Landrum Inc2 organizations share this tax ID, including this one

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

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.

Verify at the official NPI Registry.