Small Family Care Home

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

FCH091008 Issued in NC

Legal business name

SMALL FAMILY CARE HOME

Practice address

1421 Ross Mill Rd
Henderson, NC 27537-5965

Phone

(252) 492-2316

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Small

Title

Owner

Phone

(252) 492-2316

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1053595553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 ROSS MILL RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275375965",
            "telephone_number": "252-492-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 ROSS MILL RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275375965",
            "telephone_number": "252-492-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-492-2316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "FCH091008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803224",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Simpson
• Ashish Singh, MD
• Elizabeth V Sinnott Armstrong, LCSW
• Ernestine Skinner
• Stephanie Ann Slaughter, MSW, LCSW, LCAS-A
• Irene Small
• Christie Smith
• Estelle L Smith
• Gary Anthony Smith, M.D.
• Emily Smoak

• Health Service Clinic/Center in Henderson, NC
• Providers in Henderson, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.