Mountain View Family Care Home #1

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL 012016 Issued in NC

Legal business name

MOUNTAIN VIEW FAMILY CARE HOME #1

Practice address

5820 Holland St
Morganton, NC 28655-7931

Phone

(828) 584-8159

Fax

(828) 584-8159

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By 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

Mr. Todd Maurice Peach

Title

President

Phone

(828) 584-8159

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841324266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 HOLLAND ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557931",
            "telephone_number": "828-584-8159",
            "fax_number": "828-584-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 HOLLAND ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557931",
            "telephone_number": "828-584-8159",
            "fax_number": "828-584-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW FAMILY CARE HOME #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEACH",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-584-8159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL 012016",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL 012013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803624",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803625",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole A Mosteller-Booth, LPC
• Mountain View Family Care Homes
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• Moving Mountains - Mental Health & Recovery, PLLC
• Lisa L Mull, FNP

• Assisted Living Facility in Morganton, NC
• Providers in Morganton, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.