Mount Eagle Health Care-Thomasville,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4420 Issued in NC

Legal business name

MOUNT EAGLE HEALTH CARE-THOMASVILLE,LLC

Practice address

14 W Main St
Suite 203
Thomasville, NC 27360-3935

Phone

(336) 287-6169

NPI assigned

Oct 16, 2015

Last updated

Oct 16, 2015By 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

Wema Salome Chagula

Title

Member,Owner

Phone

(336) 287-6169

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1609247634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W MAIN ST",
            "address_2": "SUITE 203",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603935",
            "telephone_number": "336-287-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W MAIN ST",
            "address_2": "SUITE 203",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603935",
            "telephone_number": "336-287-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT EAGLE HEALTH CARE-THOMASVILLE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "CHAGULA",
        "authorized_official_first_name": "WEMA",
        "authorized_official_middle_name": "SALOME",
        "authorized_official_title_or_position": "MEMBER,OWNER",
        "authorized_official_telephone_number": "336-287-6169"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4420",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NC",
            "license": "HC4420",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC4420",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4420",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "HC4420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Dawn Mitchem
• Danielle Blair Montgomery
• Octavia Moore, PTA
• Joshua Edward Morin, PARAMEDIC
• Kimberly Dawn Moser I
• Mpcare II, LLC (Brookstone Terrace of Thomasville)
• Ossai Muhammad, CPP, PHARMD
• Belinda Burleson Mull, FNP C
• Murchison Hauling LLC
• Shriee Murchison

• Home Health Agency in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.