Mebane Ridge Assisted Living

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

Last updated

Jun 18, 2015By the provider in NPPES

Organization subpart

No

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

Addresses

Locations

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": []
}

• Mebane ASC Investors LLC (Mebane Surgery Center)
• Mebane Behavioral Health, PC
• Mebane Drug Store Inc
• Mebane Family Chiropractic, P.C.
• Mebane Medical Clinic PA
• Medisolutions, Inc.
• Jennifer E Melerski, PSYD
• Ralph Kojo Mensah, DDS
• Karen Lyn Miller, LCMHC
• Traci Avent Mims, LPTA

• Adult Care Home Facility in Mebane, NC
• Providers in Mebane, NC by specialty
• Adult Care Home Facility in North Carolina

• 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.