Betty J Cooper
Organization Active NPI Assisted Living Facility · Mooresboro, NC
NPI 1831216613 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1831216613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- FCL 023001 (NC)
- Legal business name
- BETTY J COOPER
- Practice address
- 2129 McCraw Rd
Mooresboro, NC 28114-8717 - Phone
- (704) 434-7256
- NPI assigned
- Mar 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Betty Cooper
- Title
- Owner
- Phone
- (704) 434-7256
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Betty J Cooper
Locations
2129 McCraw Rd
Mooresboro, NC 28114
Phone (704) 434-7256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FCL 023001 | NC | Yes |
Addresses
Primary practice location
2129 McCraw Rd
Mooresboro, NC 28114-8717
Mailing address
PO Box 1236
Boiling Springs, NC 28017-1236
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801064 | Medicaid | NC | |
| 7801072 | Medicaid | NC |
Other names
- BJS Family Care Homes
Other providers in Mooresboro, NC
- BJS Family Care Home # 2
- Champion Family Care Home
- Country Living and More Family Care
- DLP Rutherford Physician Practices LLC
- Macey Bright Dunn
All providers in Mooresboro, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.