Mary's Family Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL080004 Issued in NC

Legal business name

MARY'S FAMILY CARE HOME

Practice address

485 Long Ferry Rd
Salisbury, NC 28144-0546

Phone

(704) 637-5653

NPI assigned

Jun 18, 2007

Last updated

Jun 16, 2008By 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

Mary Ann Clinding

Title

Administrator

Phone

(704) 637-5653

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1063617207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 LONG FERRY RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281440546",
            "telephone_number": "704-637-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 LONG FERRY RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281440546",
            "telephone_number": "704-637-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CLINDING",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-637-5653"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL080004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801970",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Salisbury, NC
• Providers in Salisbury, 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 Jun 16, 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.