McCullers Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MCCULLERS HOME

Doing business as

MCCULLERS HOME

Practice address

90 Ef Cottrell Rd
Louisburg, NC 27549-8664

Phone

(919) 796-5780

Fax

(919) 266-7901

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Mary McCullers

Title

Owner

Phone

(919) 796-5780

Specialties & licenses 1

Addresses

Other names 1

• MCCULLERS HOME Doing business as

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1003574476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 QUAIL COVEY LN",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275917901",
            "telephone_number": "919-796-5780",
            "fax_number": "919-266-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 EF COTTRELL RD",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275498664",
            "telephone_number": "919-796-5780",
            "fax_number": "919-266-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLERS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "MCCULLERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-796-5780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCULLERS HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxim Healthcare Services, Inc
• MBN & Associates
• MBN & Associates
• MBN & Associates
• Zavier Nichols McCray, LCSW
• Dacey McGinnis
• Robert L McLaurin Jr., MD
• Almira McMillan, LCMHCA
• Angelica Lynne McNair, PT, DPT
• Meaningful Connections Program LLC

• Adult Care Home Facility in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.