Momma & Poppa Community Residential Care Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOMMA & POPPA COMMUNITY RESIDENTIAL CARE FACILITY

Practice address

534 Martin Luther King Rd
Pawleys Island, SC 29585-6001

Phone

(843) 833-3473

NPI assigned

Sep 20, 2009

Organization subpart

No

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

Authorized official

Name

Theresa G Steele

Title

Owner/ Ceo

Phone

(843) 833-3473

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1619201902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SHEARWATER CT",
            "address_2": "UNIT 202",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768686",
            "telephone_number": "843-833-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MARTIN LUTHER KING RD",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856001",
            "telephone_number": "843-833-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMA & POPPA COMMUNITY RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "843-833-3473"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Carroll Meeks, M.D.
• William Andrew Meeks, MD
• Luann Collins Mezzatesta
• Joseph J Miccarelli, RPH
• Caroline Grace Millan, M.D.
• Momma & Poppa Companion Agency
• Momma & Poppa Mobility Home Medical LLC
• Camri K Monaghan, OTR/L
• Charlotte T. Moore, PA
• Sandra Lynn Moreau, LPTA

• Assisted Living Facility in Pawleys Island, SC
• Providers in Pawleys Island, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; 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.