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MOUNT EAGLE HEALTH CARE GREENSBORO LLC NPI 1760854715


NPI Information

NPI: 1760854715
Provider Name: MOUNT EAGLE HEALTH CARE GREENSBORO, LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
6000 MUSEUM DR BLDG A
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 283-5191
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MOUNT EAGLE HEALTH CARE GREENSBORO, LLC 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 GREENSBORO, LLC NPI is 1760854715. The provider is registered as an organization entity type.

The provider's business location address is:

6000 MUSEUM DR BLDG A
WINSTON SALEM, NC
ZIP 27105-503
Phone: (336) 283-5191
Fax: (336) 499-6532

The provider's authorized official is Dorothy Shallua .
The authorized official title is Director and has the following contact phone number (336) 283-5191.

The enumeration date for this NPI number is 10/29/2015 and was last updated on 10/29/2015.


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
1251F00000XHome InfusionHC2369NORTH CAROLINANo
2253Z00000XIn Home Supportive CareHC2369NORTH CAROLINANo
3251J00000XNursing CareHC2369NORTH 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

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