MORAVIAN FAMILY CARE HOME (NPI# 1134599590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134599590 |
| Entity Type | Organization |
| Organization Name | MORAVIAN FAMILY CARE HOME |
| Practice Address |
2905 Holmes Rd Greensboro NC 27405-4621 |
| Mailing Address |
7604 Fairhaven Rd Browns Summit NC 27214-9643 |
| Practice Telephone | 3365543486 |
| Practice Fax Number | 3365543486 |
| Mailing Telephone | 3365543486 |
| Mailing Fax Number | 3363581729 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | MEGAN COMMEDO MORAVIAN (OWNER) |
| Authorized Official Telephone | 3365543486 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 041-1025 | NC | Residential Treatment Facilities |
| Street Address |
2905 HOLMES RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1922555671 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3200 Bernard St, Greensboro, NC 27405-3724 | 2016-09-09 |
| 1407230469 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4449 Burlington Rd, Lot 29, Greensboro, NC 27405-8683 | 2015-07-18 |
| 1982087458 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3908 Bluestem Dr, Greensboro, NC 27405-8251 | 2015-07-02 |
| 1649684374 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 181 Big Oak Trail, Greensboro, NC 27214 | 2014-06-20 |
| 1831503523 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Herman Gist Rd, Greensboro, NC 27401-4799 | 2014-06-20 |
| 1336571603 | Wescare Professional Services, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1311 Gorrell St, Greensboro, NC 27401-3507 | 2013-08-08 |
| 1962840900 | Wescare Professional Services, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1309 Gorrell St, Greensboro, NC 27401-3507 | 2013-06-12 |
| 1497193403 | Wescare Professional Services, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2204 Oakmont Ct, Greensboro, NC 27407-6076 | 2013-06-12 |
| 1790066421 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2103 Three Meadows Rd, Greensboro, NC 27455-1729 | 2011-09-08 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.