NPIMap

Organization Active NPI

Eldo, Inc.

  • Adult Care Home Facility
  • Leland, NC
National Provider Identifier
1952349326
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL010002 Issued in NC
Legal business name
ELDO, INC.
Practice address
2180 Maco Rd NE
Leland, NC 28451-8671
Phone
(910) 655-4102
Fax
(910) 762-3115
NPI assigned
Jun 4, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tajuana Renee Beatty
Title
President
Phone
(910) 762-3118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL010002 NC Primary

Addresses

Primary practice location

2180 Maco Rd NE
Leland, NC 28451-8671

Mailing address

1805 Castle St
Wilmington, NC 28403-2103
Phone (910) 762-3118

Other identifiers 1

IdentifierTypeStateIssuer
7801763MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Eldo Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1952349326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CASTLE ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032103",
            "telephone_number": "910-762-3118",
            "fax_number": "910-762-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MACO RD NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284518671",
            "telephone_number": "910-655-4102",
            "fax_number": "910-762-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "TAJUANA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-762-3118",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL010002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801763",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.