MEBANE RIDGE ASSISTED LIVING NPI 1770964702

NPI Information

  • NPI: 1770964702
  • Provider Name: MEBANE RIDGE ASSISTED LIVING
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 34D2149457
  • Address: 1999 S NC HIGHWAY 119
    MEBANE, NC
    ZIP 27302
  • Phone: (336) 993-7555

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NPI Details

MEBANE RIDGE ASSISTED LIVING is an adult care home custodial care facility in Mebane, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MEBANE RIDGE ASSISTED LIVING NPI is 1770964702. The provider is registered as an organization entity type.

The provider's business location address is:

1999 S NC HIGHWAY 119
MEBANE, NC
ZIP 27302-738
Phone: (336) 993-7555

The provider's authorized official is Ann Weldon .
The authorized official title is Ar and has the following contact phone number (336) 993-7555.

The CLIA number assigned to this NPI record is 34D2149457 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2015 and was last updated on 6/18/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeHAL001159NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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