Tanjer House, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

MHL 088 015 Issued in NC

Legal business name

TANJER HOUSE, INC

Practice address

161 E French Broad St
Brevard, NC 28712-3410

Phone

(828) 884-2550

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Paula McKeller

Title

President

Phone

(828) 877-5271

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Tanjer House2 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.

• Tanjer House

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brevard, NC
  • NPI 1235284423
  NPD tax ID

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1538339130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E FRENCH BROAD ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123410",
            "telephone_number": "828-884-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E FRENCH BROAD ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123410",
            "telephone_number": "828-884-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANJER HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "MCKELLER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-877-5271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL 088 015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805680",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvan Valley OB/GYN, PA
• Gerard Sztyber, MD
• Emerson Talbott, DPT
• Tanjer House
• Tanjer House
• Marian Taylor, MD
• Phyllis Kay Taylor, CRNA
• Tara Tecce, LCMHC
• The Focus Group Optometric Associates, PA (The Focus Group)
• The Movement Physical Therapy and Wellness LLC

• Adult Care Home Facility in Brevard, NC
• Providers in Brevard, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.