COUNTRY LIVING AND MORE FAMILY CARE (NPI# 1922153329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922153329 |
| Entity Type | Organization |
| Organization Name | COUNTRY LIVING AND MORE FAMILY CARE |
| Practice Address |
336 Nc 120 Hwy Mooresboro NC 28114-7788 |
| Practice Telephone | 8284530006 |
| Practice Fax Number | 8284531542 |
| Mailing Telephone | 8284530006 |
| Mailing Fax Number | 8284531542 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JERRY ALAN MOORE (COOWNER COADMINISTRATOR) |
| Authorized Official Telephone | 8284530006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FCL-081-016 | NC | Nursing & Custodial Care Facilities |
| Street Address |
336 NC 120 HWY |
| City | MOORESBORO |
| State | NC |
| Zip Code | 28114-7788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043671613 | Kd Support Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 133 Keeter Rd., Mooresboro, NC 28114 | 2016-03-10 |
| 1467862219 | Jimerson Safe Haven | Local Education Agency (LEA) | 135 Sweetbriar Circle, Mooreboro, NC 28114 | 2014-05-02 |
| 1437598265 | Mcdaniel Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 136 Fox Den Drive, Mooresboro, NC 28114 | 2013-06-14 |
| 1114295664 | Beth Paglia | Speech-Language Pathologist | 454 Lemmons Rd, Mooresboro, NC 28114 | 2011-12-12 |
| 1003947979 | Rutherford Hospital Inc | Pharmacy | 607 120 Hwy, Mooresboro, NC 28114 | 2007-03-09 |
| 1245248657 | Robert Allen Ralph | Family Medicine | 605 N C 120 Highway, Mooresboro, NC 28114-6713 | 2006-08-03 |
| 1821191875 | Rutherford Hospital, Inc. | Clinic/Center | 605 N C 120 Highway, Mooresboro, NC 28114-6713 | 2006-09-06 |
| 1306036223 | Champion Family Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 127 Lucas Ln, Mooresboro, NC 28114-6799 | 2007-07-26 |
| 1669826459 | Raph Voyles Jr. | Specialist/Technologist | 942 State Line Rd, 942, Mooresboro, NC 28114-7693 | 2016-04-18 |
| 1609235696 | Kd Support Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1998 Harris Henrietta Rd, Mooresboro, NC 28114-8209 | 2016-02-18 |
| Find all providers in zip 28114 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831216613 | Betty J Cooper | Assisted Living Facility | 2129 Mccraw Rd, Mooresboro, NC 28114-8717 | 2007-03-25 |
| 1457693590 | Bjs Family Care Home # 2 | Assisted Living Facility | 2129 Mccraw Rd, Mooresboro, NC 28114-8717 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | MOORESBORO |
| Zip Code | 28114 |
Please comment or provide details below to improve the information on COUNTRY LIVING AND MORE FAMILY CARE.
| 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.