Marsh's Residential Living, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-076-125 Issued in NC

Legal business name

MARSH'S RESIDENTIAL LIVING, LLC

Practice address

615 E Swannanoa Ave
Liberty, NC 27298-3002

Phone

(336) 622-0252

Fax

(336) 622-0252

NPI assigned

Apr 11, 2016

Last updated

Jan 4, 2017By 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

Monica MarshNPI 1770947137

Title

Director

Phone

(336) 622-0252

Specialties & licenses 2

Addresses

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.

• Monica Marsh

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Liberty, NC
  • NPI 1770947137

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1942664313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E SWANNANOA AVE",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272983002",
            "telephone_number": "336-622-0252",
            "fax_number": "336-622-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E SWANNANOA AVE",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272983002",
            "telephone_number": "336-622-0252",
            "fax_number": "336-622-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH'S RESIDENTIAL LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-622-0252"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL-076-125",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-076-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Family Pharmacy Inc
• Sheri Dedeen Lineberry, FNP-BC
• Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
• Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
• Monica Marsh
• Christi Meads, PHARMD
• Deborah E Meridith, LRT/CTRS
• Jennifer Vanita Moore, LMBT
• Elizabeth W Mumaw, DO
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #05377)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Liberty, NC
• Providers in Liberty, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.