Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Living Adult Care Home

Organization Health Service Clinic/Center · NPI 1053691907

Mountain Living Adult Care Home is a Health Service Clinic/Center in Jefferson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011

Practice location Address checks out

121 Brook St
Jefferson, NC 28640-9643
Phone: (336) 846-2424
Fax: (336) 846-2424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X · Licence HAL-005-014 (NC)

Record details

NPI number1053691907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Greer — Owner · (336) 846-2424
NPI enumeratedAugust 24, 2011
Last updated in NPPESAugust 24, 2011
Mailing address121 Brook St, P.O. Box 240, Jefferson, NC 28640-9643