ELON VILLAGE HOMES, INC. (NPI# 1164540225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164540225 |
| Entity Type | Organization |
| Organization Name | ELON VILLAGE HOMES, INC. |
| Practice Address |
715 E Haggard Ave. Elon NC 27244 |
| Mailing Address |
Po Box 245 Elon NC 27244 |
| Practice Telephone | 3365847930 |
| Practice Fax Number | 3365840220 |
| Mailing Telephone | 3365847930 |
| Mailing Fax Number | 3365840220 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-08-03 |
| Authorized Official Name | MR. RONNIE THURMAN MOORE JR. JR. (PRESIDENT//ADMINISTRATOR) |
| Authorized Official Telephone | 3365847930 |
| Authorized Official Credential | ADMINISTRATOR, P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL001009 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802245 | 05 |
| Street Address |
715 E HAGGARD AVE. |
| City | ELON |
| State | NC |
| Zip Code | 27244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144702846 | Eric Roman | Specialist/Technologist | Koury Field House 2500 Campus Box, Elon, NC 27244 | 2018-08-30 |
| 1457845489 | Hannah Daly | Specialist/Technologist | 104 E. Haggard Avenue, Elon, NC 27244 | 2018-06-22 |
| 1780113068 | Ewa W Czajkowska-jenkins | Physical Therapist | 106 Palladium Ct, Elon, NC 27244 | 2017-06-08 |
| 1003294059 | Adriana Cline | Pediatrics | 908 South Williamson Avenue, Elon, NC 27244 | 2015-05-11 |
| 1568859288 | Michelle Smith Flinchum | Nurse Practitioner | 301 O' Kelly Avenue, Elon, NC 27244 | 2015-04-21 |
| 1861890139 | Emily Williams | Specialist/Technologist | 301 S. O'kelly Ave, Elon, NC 27244 | 2014-12-18 |
| 1891100988 | Sarah Parker | Nurse Practitioner | 301 South O'kelly Avenue, Rn Ellington Center for Health and Wellness, Elon, NC 27244 | 2014-06-26 |
| 1194937698 | Robert Andrew Watson | General Practice | 311 Truitt Drive, Elon, NC 27244 | 2007-05-04 |
| 1487773909 | Robert Norwood Ellington | Obstetrics & Gynecology | 100 Campus Dr, 2040 Campus Box, Elon, NC 27244 | 2007-03-28 |
| 1225168974 | Meindert Albert Niemeyer | Family Medicine | 812 West Haggard Ave, Elon, NC 27244 | 2007-03-06 |
| Find all providers in zip 27244 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376671024 | Latrells Enterprise | Assisted Living Facility | 3782 Cherry Grove Rd, Elon, NC 27244-9484 | 2007-03-02 |
| 1699826438 | Latrells Enterprise | Assisted Living Facility | 3814 Cherry Grove Road, Elon, NC 27244-9485 | 2007-01-16 |
| 1619077781 | Blakey Hall Assisted Living, LLP | Assisted Living Facility | 501 Blakey Hall Ln, Elon, NC 27244-7966 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
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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.