Organization Active NPI

Mebane Ridge Assisted Living

  • Adult Care Home Facility
  • Mebane, NC
National Provider Identifier
1770964702
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL001159 Issued in NC
Legal business name
MEBANE RIDGE ASSISTED LIVING
Practice address
1999 S NC Highway 119
Mebane, NC 27302-9738
Phone
(336) 993-7555
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Ann Weldon
Title
Ar
Phone
(336) 993-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL001159 NC Primary

Addresses

Primary practice location

1999 S NC Highway 119
Mebane, NC 27302-9738

Mailing address

853 Old Winston Rd
Suite 118
Kernersville, NC 27284-7143
Phone (336) 993-7555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1770964702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 OLD WINSTON RD",
            "address_2": "SUITE 118",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847143",
            "telephone_number": "336-993-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 S NC HIGHWAY 119",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029738",
            "telephone_number": "336-993-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEBANE RIDGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "AR",
        "authorized_official_telephone_number": "336-993-7555"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL001159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.