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MT. GILEAD INDEPENDENT SENIOR AND ASSISTED LIVING
NPI 1609233295
Clinic/Center in Mount Gilead, NC

Active since January 27, 2016
110 ROOSEVELT ST, MOUNT GILEAD, NC 27306(910) 439-1635 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2021, Nov 27, 2019, Oct 24, 2019 and 1 more (4 updates tracked since 2016).

About Mt. Gilead Independent Senior And Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MT. GILEAD INDEPENDENT SENIOR AND ASSISTED LIVING (NPI 1609233295) is a healthcare organization registered as a clinic/center in Mount Gilead, North Carolina and active in the NPI registry since January 2016. The organization lists Mystery E Willis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609233295
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMODERATE LIVING FOR THE AGING INC
Location Address110 ROOSEVELT STMount Gilead, NC 27306-9606
Mailing AddressPo Box 1312Mount Gilead, NC 27306-1312 · (910) 439-1669 · Fax (888) 351-5666
Phone(910) 439-1635
Organization SubpartNo
Authorized OfficialMystery E WillisCeo · (910) 439-1669
Enumeration DateJanuary 27, 2016
Last NPPES UpdateDecember 1, 20214 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1609233295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · 90368
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 902768 (NC)
Also ListedTransportation BrokerTaxonomy 347E00000X
110 ROOSEVELT ST, Mount Gilead, NC 27306
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Other Names 1

Doing Business AsMt. Gilead Independent Senior And Assisted Living

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN HRABOVSKY
Physical Therapy Assistant
110 ROOSEVELT ST
MOUNT GILEAD, NC 27306
Montgomery County (910) 439-1669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moderate Living For The Aging Inc's NPI number?

The NPI number for Moderate Living For The Aging Inc is 1609233295. It was assigned to this organization in the NPPES registry on January 27, 2016. The provider is doing business as Mt. Gilead Independent Senior And Assisted Living.

Where is Moderate Living For The Aging Inc located?

Moderate Living For The Aging Inc is located at 110 Roosevelt St, Mount Gilead, NC 27306. The listed phone number is (910) 439-1635.

What is Moderate Living For The Aging Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Moderate Living For The Aging Inc was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.