Organization Active NPI

Mayflower Senior Care, Inc

  • Health Service Clinic/Center
  • Weaverville, NC
National Provider Identifier
1720262223
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
FCH011187 Issued in NC
Legal business name
MAYFLOWER SENIOR CARE, INC
Practice address
48 Roberts Cove Rd
Weaverville, NC 28787-9748
Phone
(828) 645-5284
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Mrs. Evet R Trantham
Title
Owner
Phone
(828) 645-5284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X FCH011187 NC Primary

Addresses

Primary practice location

48 Roberts Cove Rd
Weaverville, NC 28787-9748

Mailing address

48 Roberts Cove Rd
Weaverville, NC 28787-9748
Phone (828) 645-5284

Other identifiers 1

IdentifierTypeStateIssuer
7805139MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1720262223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROBERTS COVE RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879748",
            "telephone_number": "828-645-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROBERTS COVE RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879748",
            "telephone_number": "828-645-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER SENIOR CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "TRANTHAM",
        "authorized_official_first_name": "EVET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-645-5284",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "FCH011187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805139",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.