Organization Active NPI

Mere-Mor House

  • Adult Care Home Facility
  • Belmont, NC
National Provider Identifier
1487070769
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
3112A0620X Issued in NC
Legal business name
MERE-MOR HOUSE
Practice address
4084 Tucker Rd
Belmont, NC 28012-8702
Phone
(704) 825-1954
Fax
(704) 825-2458
NPI assigned
Mar 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Anita Shive Painter, LNHA
Title
Owner
Phone
(704) 825-1954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 3112A0620X NC Primary

Addresses

Primary practice location

4084 Tucker Rd
Belmont, NC 28012-8702

Mailing address

4084 Tucker Rd
Belmont, NC 28012-8702
Phone (704) 825-1954

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1487070769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 TUCKER RD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280128702",
            "telephone_number": "704-825-1954",
            "fax_number": "704-825-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 TUCKER RD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280128702",
            "telephone_number": "704-825-1954",
            "fax_number": "704-825-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERE-MOR HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "SHIVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-825-1954",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "3112A0620X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.