Maggie's Family Care Home Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-036-021 Issued in NC

Legal business name

MAGGIE'S FAMILY CARE HOME INC.

Practice address

213 Queens Rd
Gastonia, NC 28052-6737

Phone

(704) 833-7294

Fax

(704) 867-4716

NPI assigned

Jun 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Julie Ann Sisk

Title

Owner

Phone

(704) 833-7294

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003012220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 QUEENS RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526737",
            "telephone_number": "704-833-7294",
            "fax_number": "704-867-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 QUEENS RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526737",
            "telephone_number": "704-833-7294",
            "fax_number": "704-867-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE'S FAMILY CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SISK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-833-7294",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-036-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Barrett Macomson, DDS, MSO
• Raeana Macon
• Brittin Nicole Madden, PT, DPT
• Crystal Cornelia Maddox, M.D.
• Sharmarke Magan, MD
• Shakeer Mahmood, M.D.
• April Marie Mahrle-Henson, NP
• Jennifer R. Maietta
• Mainstreet and Kidsstreet of North Carolina PLLC
• Ranjan Simon Maitra, MD

• Assisted Living Facility in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.