THE MAT GROUP, INC.
Adult Care Home
Mount Olive, North Carolina
Provider NPI: 1821215252
Organization Information:Organization Name: THE MAT GROUP, INC.
Practice Location:
235 ROBERT F HARGROVE RD MOUNT OLIVE, NC 28365 US
Tel: 919-658-9219 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
235 ROBERT F HARGROVE RD MOUNT OLIVE, NC 28365 US
Tel: 919-658-9219 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | MHL-031-037 |
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | MHL-031-036 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PROVIDER NUMBER | 7801812 | NC | 01 |
CAP PROVIDER NUMBER | 3418148 | NC | 01 |
PROVIDER NUMBER | 7804554 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin