NPIMap

Organization Active NPI

Harris Enterprise of NC, Inc Moses Manor, Inc

  • Assisted Living Facility
  • Gastonia, NC
National Provider Identifier
1477610244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-036-026 Issued in NC
Legal business name
HARRIS ENTERPRISE OF NC, INC MOSES MANOR, INC
Practice address
1401 Bradford Heights Rd
Gastonia, NC 28054-6566
Phone
(704) 460-4072
Fax
(704) 484-3098
NPI assigned
Jan 2, 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
Georgette Ormsby
Title
President
Phone
(704) 460-4072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-036-026 NC Primary

Addresses

Primary practice location

1401 Bradford Heights Rd
Gastonia, NC 28054-6566

Mailing address

PO Box 1803
Shelby, NC 28151-1803
Phone (704) 460-7072

National Provider Directory

National Provider Directory
Tax ID family
Doing Business As St Mark's Road Care Home5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1401 Bradford Heights Rd
Gastonia, NC 28054
Phone (704) 460-4072

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477610244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1803",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281511803",
            "telephone_number": "704-460-7072",
            "fax_number": "704-484-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BRADFORD HEIGHTS RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546566",
            "telephone_number": "704-460-4072",
            "fax_number": "704-484-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS ENTERPRISE OF NC, INC MOSES MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORMSBY",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-460-4072"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-036-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, 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.