Provider Type Icon

HARRIS ENTERPRISES OF NC INC NPI 1497812119


NPI Information

NPI: 1497812119
Provider Name: HARRIS ENTERPRISES OF NC, INC

Doing Business As: DOING BUSINESS AS: ST MARK'S ROAD CARE HOME

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1230 ST MARK'S ROAD CARE HOME
CROUSE, NC
ZIP 28033
Phone: (704) 460-4072
Get Directions

HARRIS ENTERPRISES OF NC, INC is an assisted living facility in Crouse, 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. HARRIS ENTERPRISES OF NC, INC NPI is 1497812119. The provider is registered as an organization entity type.
The provider Is Doing Business As Doing Business As: St Mark's Road Care Home.

The provider's business location address is:

1230 ST MARK'S ROAD CARE HOME
CROUSE, NC
ZIP 28033
Phone: (704) 460-4072
Fax: (704) 484-3098

The provider's authorized official is Georgette Harris Johnson .
The authorized official title is President and has the following contact phone number (704) 460-4072.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 10/29/2018.


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 FacilityHCL-036-024NORTH 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: 5/5/2024

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.