Morganton Geriatric LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MORGANTON GERIATRIC LLC

Doing business as

Quaker Meadows Family Care Home

Practice address

125 Camellia Garden St
Morganton, NC 28655-8207

Phone

(828) 433-5875

Fax

(828) 433-7022

NPI assigned

May 9, 2022

Last updated

May 9, 2022By 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

Phani Mohan Vupadhyayula, MDNPI 1659523991

Title

Manager

Phone

(704) 989-5736

Specialties & licenses 1

Addresses

Other names 1

• Quaker Meadows Family Care Home Doing business as

Tax ID family

Burke Long Term Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Morganton Geriatric LLC

  dba Burke Long Term Care

  • Adult Care Home Facility
  • Morganton, NC
  • NPI 1952045148
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phani Mohan Vupadhyayula

  • Hospitalist Physician
  • Salisbury, NC
  • NPI 1659523991
  NPD Authorized official

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1881330207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 BALTUSROL LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739031",
            "telephone_number": "704-989-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CAMELLIA GARDEN ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558207",
            "telephone_number": "828-433-5875",
            "fax_number": "828-433-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTON GERIATRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-04-24",
        "status": "A",
        "authorized_official_last_name": "VUPADHYAYULA",
        "authorized_official_first_name": "PHANI MOHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-989-5736",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quaker Meadows Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morganton Eye Physicians, P.a.
• Morganton Eye Physicians, P.a.
• Morganton Eye Physicians, P.a.
• Morganton Eye Physicians, P.a.
• Morganton Family Medicine PLLC
• Morganton Geriatric LLC (Burke Long Term Care)
• Morganton Internal Medicine, PA
• Morganton Long Term Care, Inc.
• Morganton Long Term Care, Inc.
• Morganton Opco Holdings, LLC (The Berkeley)

• Adult Care Home Facility in Morganton, NC
• Providers in Morganton, 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 May 9, 2022; 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.