Moravian Enterprises, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-041-1142 Issued in NC

Legal business name

MORAVIAN ENTERPRISES, LLC

Doing business as

Prolific Community Resources

Practice address

2515 Phillips Ave Ste a
Greensboro, NC 27405-5357

Phone

(336) 542-0581

Fax

(336) 542-0464

NPI assigned

Mar 5, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Megan Commedo MoravianNPI 1356853956

Title

Administrator

Phone

(336) 542-0581

Specialties & licenses 4

Addresses

Other names 1

• Prolific Community Resources Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Commedo Moravian

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Browns Summit, NC
  • NPI 1356853956

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1710489976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 PHILLIPS AVE STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055357",
            "telephone_number": "336-542-0581",
            "fax_number": "336-542-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 PHILLIPS AVE STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055357",
            "telephone_number": "336-542-0581",
            "fax_number": "336-542-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 North Elm St.",
            "address_2": "Suite 810",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27401",
            "country_code": "US",
            "telephone_number": "336-542-0581 x1",
            "fax_number": "336-542-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORAVIAN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MORAVIAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "COMMEDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-542-0581",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-041-1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prolific Community Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Mooyoung, LMBT
• Juarez Antonio Moraes Filho, BS
• Kevin Moragne
• Anthony Morales
• Lannette Moran, RN
• Moravian Family Care Home
• Victor H Morcos, MD
• More Precious Than Rubies Counseling and Restoration PLLC
• Roy Moreira, MD
• Margaret Lawrence Moreland

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.