NPIMap

Organization Active NPI

Mizpah Healthcare, Inc.

Doing business as Arbor Care Assisted Living

  • Assisted Living Facility
  • Greensboro, NC
National Provider Identifier
1669507919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-041-019 Issued in NC
Legal business name
MIZPAH HEALTHCARE, INC.
Doing business as
Arbor Care Assisted Living
Practice address
510 Banner Ave
Greensboro, NC 27401-4303
Phone
(336) 273-2380
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cathy Childrey, R.N.
Title
Ceo
Phone
(910) 848-0694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-041-019 NC Primary

Addresses

Primary practice location

510 Banner Ave
Greensboro, NC 27401-4303

Mailing address

PO Box 1796
Southern Pines, NC 28388-1796
Phone (910) 848-0694

Other identifiers 1

IdentifierTypeStateIssuer
7803384MedicaidNC

Other names 1

  • Arbor Care Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arbor Care Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669507919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1796",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283881796",
            "telephone_number": "910-848-0694",
            "fax_number": "910-848-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BANNER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274014303",
            "telephone_number": "336-273-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZPAH HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHILDREY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-848-0694",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-041-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Care Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • 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.