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MOUNT EAGLE HEALTH CARE NPI 1326313537


NPI Information

NPI: 1326313537
Provider Name: MOUNT EAGLE HEALTH CARE
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 34D2098808

Address:
470 W HANES MILL RD STE 109
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 776-0357
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MOUNT EAGLE HEALTH CARE is a nursing care in Winston Salem, NC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. MOUNT EAGLE HEALTH CARE NPI is 1326313537. The provider is registered as an organization entity type.

The provider's business location address is:

470 W HANES MILL RD STE 109
WINSTON SALEM, NC
ZIP 27105-102
Phone: (336) 776-0357
Fax: (336) 499-2002

The provider's authorized official is Dorothy Edward Mmanywa .
The authorized official title is Director and has the following contact phone number (336) 776-8601.

The CLIA number assigned to this NPI record is 34D2098808 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2012 and was last updated on 3/22/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthHC3525NORTH CAROLINANo
2251J00000XNursing CareHC3525NORTH CAROLINAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.