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

Last updated

Sep 20, 2009By 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

Theresa G SteeleNPI 1427288869

Title

Owner/ Ceo

Phone

(843) 833-3473

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa G Steele

  • Durable Medical Equipment & Medical Supplies
  • Pawley's Island, SC
  • NPI 1427288869
  Authorized official Same address or phone

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 Pawley's Island, SC
• Providers in Pawley's 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.