Morganton Geriatric LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MORGANTON GERIATRIC LLC

Doing business as

Burke Long Term Care

Practice address

125 Camellia Garden St
Morganton, NC 28655-8207

Phone

(828) 433-5875

Fax

(828) 433-7022

NPI assigned

Apr 24, 2022

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, MD

Title

Manager

Phone

(704) 989-5736

Specialties & licenses 1

Addresses

Other names 1

• Burke Long Term Care 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 Quaker Meadows Family Care Home

  • Adult Care Home Facility
  • Morganton, NC
  • NPI 1881330207
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phani Mohan Vupadhyayula

  • Hospitalist Physician
  • Salisbury, NC
  • NPI 1659523991
  NPD

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650758400000",
    "number": "1952045148",
    "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"
        },
        {
            "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": "2022-04-24",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A",
        "authorized_official_last_name": "VUPADHYAYULA",
        "authorized_official_first_name": "PHANI",
        "authorized_official_middle_name": "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morganton Eye Physicians, P.a.
• Morganton Eye Physicians, P.a.
• Morganton Eye Physicians, P.a.
• Morganton Family Medicine PLLC
• Morganton Geriatric LLC (Quaker Meadows Family Care Home)
• Morganton Internal Medicine, PA
• Morganton Long Term Care, Inc.
• Morganton Long Term Care, Inc.
• Morganton Opco Holdings, LLC (The Berkeley)
• Morganton Opco II LLC (The Gardens of Morganton)

• 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 Apr 24, 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.