MRS. MILDRED HARRIS (NPI# 1366635120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366635120 |
| Entity Type | Individual |
| Full Name | MRS. MILDRED HARRIS |
| Credential | ADMINISTRATOR |
| Practice Address |
834 Hwy 101 Beaufort NC 28516-7717 |
| Practice Telephone | 2527286525 |
| Mailing Telephone | 2527287490 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL016-013 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803990 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023091832 | Mildred Harris | Social Worker | 3326 Chapel Hill Blvd, Bldg D, Durham, NC 27707-6239 | 2005-11-25 |
| Street Address |
834 HWY 101 |
| City | BEAUFORT |
| State | NC |
| Zip Code | 28516-7717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286696 | Hannah Lee Thompson | Dentist | 1619 Like Oak St, Beaufort, NC 28516 | 2018-05-29 |
| 1487952560 | Renee Fowler Laton | Pharmacist | 1710 Main St, Beaufort, NC 28516 | 2011-03-14 |
| 1184927162 | Otway Pharmacy Partners, Inc | Pharmacy | 708 Highway 70 East - Otway, Beaufort, NC 28516 | 2010-12-13 |
| 1467683441 | Richard H. Grossheim | Pharmacist | 708 Hwy 70 East-otway, Beaufort, NC 28516 | 2009-08-07 |
| 1114177144 | Winifred G Mccarthy | Registered Nurse | 1224 Harkers Island Road, Beaufort, NC 28516 | 2008-09-26 |
| 1548389521 | Danielle W. Norris | Occupational Therapist | 908 Eastman Creek Drive, Beaufort, NC 28516 | 2007-03-28 |
| 1518019413 | William Jack Orton Sr. | Physician Assistant | 97 Campen Rd, Beaufort, NC 28516 | 2007-01-18 |
| 1003915018 | James J Crosswell Jr Md Pa | Family Medicine | 97 Campen Road, Beaufort, NC 28516 | 2006-09-22 |
| 1760595573 | Morehead City Drug Co | Pharmacy | 1404 Live Oak St, Beaufort, NC 28516 | 2006-08-16 |
| 1629099577 | Laura Ellen Holland | Nurse Practitioner | 301 Jones Avenue, Beaufort, NC 28516 | 2006-07-23 |
| Find all providers in zip 28516 | ||||
| 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 |
|---|---|---|---|---|
| 1548421506 | Wadin Creek Family Care Home | Custodial Care Facility | 819 Hwy 101, Beaufort, NC 28516-7718 | 2008-06-23 |
| 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.