Provider Demographics
NPI:1427414226
Name:THE PATTERSON HOUSE FAMILY CARE HOME
Entity Type:Organization
Organization Name:THE PATTERSON HOUSE FAMILY CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-391-8299
Mailing Address - Street 1:3053 COUNTRY PINES ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-0122
Mailing Address - Country:US
Mailing Address - Phone:828-391-8299
Mailing Address - Fax:828-437-0429
Practice Address - Street 1:3053 COUNTRY PINES ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-0122
Practice Address - Country:US
Practice Address - Phone:828-391-8299
Practice Address - Fax:828-437-0429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL012044311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home