NPIMap

Organization Active NPI

Marks Family Care #1

  • Adult Care Home Facility
  • Reidsville, NC
National Provider Identifier
1063683480
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL- 079-032 Issued in NC
Legal business name
MARKS FAMILY CARE #1
Practice address
476 Hwy 87
Reidsville, NC 27320-9724
Phone
(336) 349-2585
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mrs. Linda Adelle Woodson
Title
Administrator
Phone
(336) 349-2585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL- 079-032 NC Primary

Addresses

Primary practice location

476 Hwy 87
Reidsville, NC 27320-9724

Mailing address

476 Hwy 87
Reidsville, NC 27320-9724

National Provider Directory

National Provider Directory
Tax ID family
Linda Woodson2 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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1063683480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 HWY 87",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 HWY 87",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209724",
            "telephone_number": "336-349-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKS FAMILY CARE #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ADELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-349-2585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL- 079-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.