Blair Assisted Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-083-008 Issued in NC

Legal business name

BLAIR ASSISTED LIVING

Practice address

311 N Main St
Laurinburg, NC 28352-3121

Phone

(910) 318-9667

Fax

(910) 276-9223

NPI assigned

Feb 5, 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

Marlita Moujahed

Title

Owner

Phone

(910) 318-9667

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Blair Assisted Living Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Blair Assisted Living Inc

  • Adult Care Home Facility
  • Laurinburg, NC
  • NPI 1356489843
  NPD tax ID
• Blair Assisted Living Inc

  • Adult Care Home Facility
  • Laurinburg, NC
  • NPI 1649318544
  NPD tax ID

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902944499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2342",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283532342",
            "telephone_number": "910-318-9667",
            "fax_number": "910-276-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523121",
            "telephone_number": "910-318-9667",
            "fax_number": "910-276-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUJAHED",
        "authorized_official_first_name": "MARLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-318-9667"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-083-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805182",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Scotland County)
• Bio-Medical Applications of North Carolina, Inc. (Bma Laurinburg)
• Vanessa Black, MAED, CSOTP, LPC NCC
• Thomas Blackburn IV, O.D.
• Katherine Blackmon
• Blair Assisted Living Inc
• Blair Assisted Living Inc
• Matthew Block, MD
• Logan H Booth, RN
• Denise Bostick-Fairley

• Adult Care Home Facility in Laurinburg, NC
• Providers in Laurinburg, 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 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.