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THE MEADOWS OF HERMITAGE INC NPI 1215091780


NPI Information

NPI: 1215091780
Provider Name: THE MEADOWS OF HERMITAGE INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
714 E BLADEN ST
BLADENBORO, NC
ZIP 28320
Phone: (910) 863-4500
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THE MEADOWS OF HERMITAGE INC is an assisted living facility in Bladenboro, NC. The provider is 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. THE MEADOWS OF HERMITAGE INC NPI is 1215091780. The provider is registered as an organization entity type.

The provider's business location address is:

714 E BLADEN ST
BLADENBORO, NC
ZIP 28320-669
Phone: (910) 863-4500

The provider's authorized official is Ron Burrell .
The authorized official title is Ceo and has the following contact phone number (252) 525-1995.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 7/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityHAL009019NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17804594MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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