KOPPER TOP LIFE LEARNING CENTER, INC. (NPI# 1043458383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043458383 |
| Entity Type | Organization |
| Organization Name | KOPPER TOP LIFE LEARNING CENTER, INC. |
| Other Organization Name | KOPPER TOP THERAPEUTIC RIDING CENTER, INC. |
| Practice Address |
6657 Kimesville Rd Liberty NC 27298-9108 |
| Practice Telephone | 3365659723 |
| Practice Fax Number | 3365650644 |
| Mailing Telephone | 3365659723 |
| Mailing Fax Number | 3365650644 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | MS. DEBORAH ELLEN MERIDITH (EXECUTIVE DIRECTOR/REC. THERAPIST) |
| Authorized Official Telephone | 3365659723 |
| Authorized Official Credential | LRT/CTRS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | 196 | NC | Agencies |
| Other Name | Type Code |
|---|---|
| Kopper Top Therapeutic Riding Center, Inc. | Former Legal Business Name - Organization |
| Street Address |
6657 KIMESVILLE RD |
| City | LIBERTY |
| State | NC |
| Zip Code | 27298-9108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295069235 | Deborah E Meridith | Recreation Therapist | 6657 Kimesville Rd, Liberty, NC 27298-9108 | 2009-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447445739 | Caroline Peter Edwards | Pharmacist | 204 Liberty Plaza, West Swannanoa Avenue, Liberty, NC 27298 | 2007-09-10 |
| 1174682223 | North Carolina Cvs Pharmacy LLC | Pharmacy | 204 Liberty Plz, Liberty, NC 27298 | 2006-12-06 |
| 1336210723 | Thomas Edgar Butler Jr. | Dentist | 524 N Greensboro St, Liberty, NC 27298 | 2006-11-10 |
| 1336218221 | Dr. Thomas L Blake Pa | Chiropractor | 104 N Greensboro Street, Liberty, NC 27298 | 2006-11-07 |
| 1932286010 | Community Innovations Inc 66 | Intermediate Care Facility, Mentally Retarded | 313 East Brookwood Avenue, Liberty, NC 27298 | 2006-11-01 |
| 1235215377 | Randolph Ear, Nose & Throat Associates, P.a. | Otolaryngology | 139 W. Swannanoa Ave, Liberty, NC 27298 | 2006-10-31 |
| 1104871383 | Philip J. Karam | Family Medicine | 10046 Old Liberty Road, Liberty, NC 27298 | 2006-05-24 |
| 1437673118 | Christi Meads | Pharmacist | 204 Liberty Plaza, Liberty, NC 27298 | 2017-08-03 |
| 1326423419 | Dabney Allen | Pharmacist | 204 Liberty Plaza, Liberty, NC 27298 | 2015-07-30 |
| 1841605979 | Elizabeth W Mumaw | Family Medicine | 504 N Greensboro St, Liberty, NC 27298 | 2014-06-27 |
| Find all providers in zip 27298 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1386198877 | Illumination Foundation of North Carolina | Voluntary or Charitable | 2540 Annecy Dr, Matthews, NC 28105-2323 | 2016-08-12 |
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| 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.