MEDICARE: MCDOWELL HOUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	HAL-059-018	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144317033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCDOWELL HOUSE

Provider Business Mailing Address
First Line	:	PO BOX 706
Second Line	:
City	:	GLEN ALPINE
State	:	NC
Zip	:	28628-0706
Country	:	US
Telephone Number	:	828-584-6811
Fax Number	:	828-584-6811

Provider Business Practice Location Address
First Line	:	1687 DAIRY DR
Second Line	:
City	:	NEBO
State	:	NC
Zip	:	28761-6810
Country	:	US
Telephone Number	:	828-584-6811
Fax Number	:	828-584-6811

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. PATRICK BARLOW
Credential	:
Telephone Number	:	828-584-6811

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

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1477537199 — SENIOR CARE GROUP OF MCDOWELL LLC
Practice Location Address:

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1720040314 — MS. VEDA L ROWE FNP
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1649296419 — ROBERT BRUCE EDWARDS PA-C
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Directions to “MCDOWELL HOUSE ” Practice Location

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