MEDICARE: CAREVIEW REST HOME INC.

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	311ZA0620X	Adult Care Home Facility	HAL-019-010	NC

General Provider Information

NPI Number	:	1598886525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREVIEW REST HOME INC.

Provider Business Mailing Address
First Line	:	2701 MOON LINDLEY RD
Second Line	:
City	:	SNOW CAMP
State	:	NC
Zip	:	27349-9449
Country	:	US
Telephone Number	:	919-742-3832
Fax Number	:	919-742-5244

Provider Business Practice Location Address
First Line	:	2701 MOON LINDLEY RD
Second Line	:
City	:	SNOW CAMP
State	:	NC
Zip	:	27349-9449
Country	:	US
Telephone Number	:	919-742-3832
Fax Number	:	919-742-5244

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MICHELLE A GODFREY
Credential	:
Telephone Number	:	919-742-3832

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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