Mountainlife Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2576 Issued in NC

Legal business name

MOUNTAINLIFE HOME CARE, INC.

Practice address

411 S Main St
Jefferson, NC 28640-9519

Phone

(336) 846-1784

Fax

(336) 846-1785

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Edward W. Hammitt, RN

Title

Director/President

Phone

(336) 846-1784

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• MountainLife In-Home Aide Service Doing business as

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619972213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1784",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286941784",
            "telephone_number": "336-846-1784",
            "fax_number": "336-846-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S MAIN ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409519",
            "telephone_number": "336-846-1784",
            "fax_number": "336-846-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINLIFE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMITT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "336-846-1784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC CORPORATE ID NUMBER",
            "identifier": "0719745",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DHHS DFS FACILITY ID",
            "identifier": "040720",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601120",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MountainLife In-Home Aide Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Miller, NP-C
• Alisa A Morgan, LMFT
• James Patrick Mortimer, D.O.
• Mount Jefferson Family Medicine, P.a.
• Mountain Living Adult Care Home
• MSP Boone Clinic, PLLC
• Mt Jefferson Child Development Center
• Uwe Mueller, RN
• Kinsey Nance, FNP
• Jessica R. Nelsen, DPT

• Home Health Agency in Jefferson, NC
• Providers in Jefferson, 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 Aug 22, 2020; 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.