Larry Allen Mitchell
Individual provider Active NPI Adult Care Home Facility · Leicester, NC
NPI 1497127484 · NPPES record last updated Oct 29, 2015
Key facts
- NPI
- 1497127484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- FLC-011-330 (NC)
- Practice address
- 10 S Turkey Creek Rd
Leicester, NC 28748-6500 - Phone
- (828) 231-4916
- NPI assigned
- Oct 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLC-011-330 | NC | MD | Adult Care Home Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FLC-011-330 | NC | Yes |
Addresses
Primary practice location
10 S Turkey Creek Rd
Leicester, NC 28748-6500
Mailing address
PO Box 775
Weaverville, NC 28787-0775
Phone (828) 231-4916
Other providers in Leicester, NC
- Leicester Volunteer Fire Department Inc
- Andrea Lencse
- Kelly Ryan Malone
- Maryia Martineau
- Michael Masterson
- Jessica Mund
- Maria Muscarella
- David Adam Neal
- Nutz R US
- Nutz R US
All providers in Leicester, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.