Ginnie Mae Residence Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GINNIE MAE RESIDENCE CARE LLC

Practice address

514 Duke St
Thomasville, NC 27360-5332

Phone

(336) 313-5183

NPI assigned

May 8, 2023

Last updated

May 21, 2023By 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

Dedra Allen

Title

Owner/Administrator

Phone

(678) 984-8683

Specialties & licenses 1

Addresses

Tax ID family

Ginnie Mae Residence Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Henry Allen Support

  • Community/Behavioral Health Agency
  • High Point, NC
  • NPI 1871387951
  NPD tax ID

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684627200000",
    "number": "1023708773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 DUKE ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605332",
            "telephone_number": "678-984-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 DUKE ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605332",
            "telephone_number": "336-313-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINNIE MAE RESIDENCE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-984-8683"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Imani Garner
• Gaston Family Health Services Inc (Kintegra Family Medicine - Thomasville)
• Daniel Earl Gentry, M.D.
• Stephanie Lauren Geruso, MS, ATC, CSCS, CES,
• Raschid A Ghoorahoo, FNP
• Michael McKay Glasgow, DC
• Krisalyn K Gleaton, PHARMD.
• Kelvin Ang Gold, MD
• Nicole Alicia Gonzales, M.D
• Sherri Gray Grant

• Adult Care Home Facility in Thomasville, NC
• Providers in Thomasville, 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 May 21, 2023; 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.