Active NPI
Mayflower Senior Care, Inc
- Health Service Clinic/Center
- Weaverville, NC
National Provider Identifier
1720262223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- FCH011187
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805139 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.