NPIMap

Organization Active NPI

Leak'S Family Care Home

  • Assisted Living Facility
  • Sanford, NC
National Provider Identifier
1043406002
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEAK'S FAMILY CARE HOME
Practice address
548 Cox Maddox Rd
Sanford, NC 27332-8019
Phone
(919) 258-3138
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Crinford Leak Sr.
Title
Owner
Phone
(919) 774-6662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

548 Cox Maddox Rd
Sanford, NC 27332-8019

Mailing address

811 Hillwood St
Sanford, NC 27330-5530
Phone (919) 774-6662

National Provider Directory

National Provider Directory
Tax ID family
Leak'S Family Care Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1043406002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 HILLWOOD ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305530",
            "telephone_number": "919-774-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 COX MADDOX RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273328019",
            "telephone_number": "919-258-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAK'S FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "LEAK",
        "authorized_official_first_name": "CRINFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-774-6662",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.