MORAVIAN ENTERPRISES, LLC (NPI# 1710489976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710489976 |
| Entity Type | Organization |
| Organization Name | MORAVIAN ENTERPRISES, LLC |
| Other Organization Name | PROLIFIC COMMUNITY RESOURCES |
| Practice Address |
122 North Elm St. Suite 810 Greensboro NC 27401 |
| Practice Telephone | 3365420581 |
| Practice Fax Number | 3365420464 |
| Mailing Telephone | 3365420581 |
| Mailing Fax Number | 3365420464 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | MS. MEGAN COMMEDO MORAVIAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3365420581 |
| 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 | MHL-041-1142 | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Prolific Community Resources | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7211a Friendship Church Rd, Browns Summit, NC 272149718 | 3365420581 | 3365420464 |
| Street Address |
122 NORTH ELM ST. SUITE 810 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| 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 |
|---|---|---|---|---|
| 1922555671 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3200 Bernard St, Greensboro, NC 27405-3724 | 2016-09-09 |
| 1134599590 | Moravian Family Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2905 Holmes Rd, Greensboro, NC 27405-4621 | 2015-09-29 |
| 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 | 27401 |
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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.