LARRY ALLEN MITCHELL (NPI# 1497127484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497127484 |
| Entity Type | Individual |
| Full Name | LARRY ALLEN MITCHELL |
| Practice Address |
10 S Turkey Creek Rd Leicester NC 28748-6500 |
| Mailing Address |
Po Box 775 Weaverville NC 28787-0775 |
| Practice Telephone | 8282314916 |
| Mailing Telephone | 8282314916 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FLC-011-330 | NC | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649779927 | Larry Mitchell | Counselor | 1960 Millbrook St Se, Grand Rapids, MI 49508-2636 | 2018-02-01 |
| 1710067160 | Larry Mitchell | Emergency Medicine | 1550 County Road 487, Centre, AL 35960 | 2006-10-17 |
| 1194975961 | Larry Morris Mitchell I | Internal Medicine | 166 E Main St, Hendersonville, TN 37075-2520 | 2008-09-29 |
| 1700829678 | Larry Mitchell | Emergency Medicine | 3435 W Van Buren St, Chicago, IL 60624-3312 | 2006-06-14 |
| 1164481214 | Larry Stephen Mitchell | Pharmacist | 1055 Clermont St, Denver, CO 80220-3808 | 2006-03-18 |
| 1760473102 | Larry Gilmer Mitchell | Family Medicine | 1 Clinic Dr, Claypool Hill, Richlands, VA 24641-1100 | 2005-11-03 |
| Street Address |
10 S TURKEY CREEK RD |
| City | LEICESTER |
| State | NC |
| Zip Code | 28748-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275659369 | Leicester Elderly Care Services Inc. | Custodial Care Facility | 10 S Turkey Creek Rd, Leicester, NC 28748-6500 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659494300 | Evergreen Living #5 | Custodial Care Facility | 352 Family Ridge Road, Leicester, NC 28748 | 2007-04-09 |
| 1346361102 | Evergreen Living #1 | Custodial Care Facility | 101 Country Time Ln, Leicester, NC 28748 | 2007-04-02 |
| 1811018674 | Evergreen Living #6 | Custodial Care Facility | 353 Family Ridge Road, Leicester, NC 28748 | 2007-04-02 |
| 1609997519 | Evergreen Living #4 | Custodial Care Facility | 230 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1053431957 | Evergreen Living #5 | Custodial Care Facility | 231 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1962522862 | Evergreen Living #6 | Custodial Care Facility | 232 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1639290497 | Evergreen Living #7 | Custodial Care Facility | 233 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1548381304 | Evergreen Living #8 | Custodial Care Facility | 234 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1457472219 | Evergreen Living #9 | Custodial Care Facility | 235 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1295856052 | Evergreen Living #10 | Custodial Care Facility | 236 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| Find all providers in zip 28748 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659494300 | Evergreen Living #5 | Custodial Care Facility | 352 Family Ridge Road, Leicester, NC 28748 | 2007-04-09 |
| 1346361102 | Evergreen Living #1 | Custodial Care Facility | 101 Country Time Ln, Leicester, NC 28748 | 2007-04-02 |
| 1811018674 | Evergreen Living #6 | Custodial Care Facility | 353 Family Ridge Road, Leicester, NC 28748 | 2007-04-02 |
| 1609997519 | Evergreen Living #4 | Custodial Care Facility | 230 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1053431957 | Evergreen Living #5 | Custodial Care Facility | 231 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1962522862 | Evergreen Living #6 | Custodial Care Facility | 232 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1639290497 | Evergreen Living #7 | Custodial Care Facility | 233 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1548381304 | Evergreen Living #8 | Custodial Care Facility | 234 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1457472219 | Evergreen Living #9 | Custodial Care Facility | 235 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1295856052 | Evergreen Living #10 | Custodial Care Facility | 236 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| Find all providers in LEICESTER | ||||
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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.