CAROLINA MTN DDA (NPI# 1023139417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023139417 |
| Entity Type | Organization |
| Organization Name | CAROLINA MTN DDA |
| Practice Address |
110 Daniel Ridge Rd Candler NC 28715 |
| Mailing Address |
Po Box 1311 Candler NC 28715-1311 |
| Practice Telephone | 8286656578 |
| Mailing Telephone | 8286656578 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MILDRED LOVE REECE (OWNER) |
| Authorized Official Telephone | 8286656578 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL-011-229 | NC | Nursing & Custodial Care Facilities |
| Street Address |
110 DANIEL RIDGE RD |
| City | CANDLER |
| State | NC |
| Zip Code | 28715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982983664 | Mildred Ruth Reece | Custodial Care Facility | 110 Daniel Ridge Rd, Candler, NC 28715-5557 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760386 | Samantha Paige Lambiase | Student in an Organized Health Care Education/Training Program | 52 Meadowbrook Drive, Candler, NC 28715 | 2020-08-13 |
| 1811552102 | Michael Thomas Adams | Student in an Organized Health Care Education/Training Program | 16 Dynasty Lane, Candler, NC 28715 | 2019-05-02 |
| 1497285241 | Carolina Vision Optometrists Pllc | Optometrist | 1431 Smokey Park Highway, Candler, NC 28715 | 2017-06-14 |
| 1386193050 | Jamin D Quilla | Optometrist | 1431 Smoky Park Hwy, Candler, NC 28715 | 2016-09-23 |
| 1265988216 | Carla Juliana Carballo | Counselor | 8 Brookside Circle, Candler, NC 28715 | 2016-08-30 |
| 1669890562 | Mountain Area Health Education Center, Inc. | Obstetrics & Gynecology | 1914 Smokey Park Highway, Candler, NC 28715 | 2014-03-29 |
| 1528481181 | Catherine Elizabeth Hyatt | Registered Nurse | 30 Haly Ho Dr, Candler, NC 28715 | 2014-01-31 |
| 1609129667 | Kelly Byrne Stoia | Nurse Practitioner | 511 Smokey Park Hwy Suite A2, Candler, NC 28715 | 2012-10-16 |
| 1063773919 | Mission Hospitals | Pharmacy | 1388 Sandhill Rd, Suite 100, Candler, NC 28715 | 2012-06-06 |
| 1477812345 | Mission Medical Associates Inc | Internal Medicine | 1388 Sand Hill Road, Suite 110, Candler, NC 28715 | 2012-05-11 |
| Find all providers in zip 28715 | ||||
| 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 |
|---|---|---|---|---|
| 1679778310 | Carolina Mountain Dda Group Home | Custodial Care Facility | 82 Daniel Ridge Road, Candler, NC 28715 | 2007-06-20 |
| 1346360625 | Mt. Pisgah Family Care | Custodial Care Facility | 33 Upper Saw Branch Rd, Candler, NC 28715-8196 | 2007-03-30 |
| 1790805364 | Plemmons Family Care #2 | Custodial Care Facility | 215 Monte Vista Rd, Candler, NC 28715-9660 | 2007-03-29 |
| 1457494387 | Genjoy Care Communities, Inc | Custodial Care Facility | 18 Horse Barn Road, Candler, NC 28715 | 2007-02-14 |
| 1689206880 | Living Waters Enterprises LLC | Custodial Care Facility | 33 Upper Saw Branch Rd, Candler, NC 28715-8196 | 2020-02-06 |
| 1720626658 | Jennifer Horton | Custodial Care Facility | 33 Upper Saw Branch Rd, Candler, NC 28715-8196 | 2019-12-10 |
| 1982983664 | Mildred Ruth Reece | Custodial Care Facility | 110 Daniel Ridge Rd, Candler, NC 28715-5557 | 2011-08-11 |
| 1952537383 | Adult Care Specialist, Inc. | Custodial Care Facility | 136 Robinson Cove Rd, Candler, NC 28715-9490 | 2009-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 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.