Active NPI
Mizpah Healthcare, Inc
- Assisted Living Facility
- Hendersonville, NC
National Provider Identifier
1487789772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- HAL-045-014
- Legal business name
- MIZPAH HEALTHCARE, INC
- Practice address
- 74 Lotus LN
Hendersonville, NC 28792-7058 - Phone
- (828) 692-2220
- NPI assigned
- Feb 23, 2007
- 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. Cathy Childrey, R.N.
- Title
- Ceo
- Phone
- (910) 848-0694
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL-045-014 | NC | Primary |
Addresses
Primary practice location
74 Lotus LN
Hendersonville, NC 28792-7058
Mailing address
PO Box 1796
Southern Pines, NC 28388-1796
Phone (910) 848-0694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803443 | Medicaid | NC |
Other names 1
- Henderson's Assisted Living
National Provider Directory
National Provider Directory- Tax ID family
- Arbor Care Assisted Living
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Hendersonville, NC
- NPI 1861528606
-
- Assisted Living Facility
- Marion, NC
- NPI 1972638245
-
- Assisted Living Facility
- Greensboro, NC
- NPI 1669507919
Locations
74 Lotus Ln
Hendersonville, NC 28792
Phone (828) 692-2220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487789772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1796",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283881796",
"telephone_number": "910-848-0694",
"fax_number": "910-848-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 LOTUS LN",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287927058",
"telephone_number": "828-692-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIZPAH HEALTHCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHILDREY",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-848-0694",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "HAL-045-014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803443",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Henderson's Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hendersonville, 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.