Lowe Family Care Home #3

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

FCH065011 Issued in NC

Legal business name

LOWE FAMILY CARE HOME #3

Practice address

136 McQuillan Dr
Wilmington, NC 28412-3110

Phone

(910) 791-7067

NPI assigned

Dec 20, 2007

Last updated

Dec 20, 2007By 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

Mrs. Mattie Lowe

Title

Owner

Phone

(910) 791-7067

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": "1063696565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MCQUILLAN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123110",
            "telephone_number": "910-791-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MCQUILLAN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123110",
            "telephone_number": "910-791-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWE FAMILY CARE HOME #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-791-7067",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "FCH065011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802451",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davon Love, MSW, LCSWA
• Kristen Love, M.A., LMFT
• Jacob Lovejoy, LCAS-A
• John W Lovett, M.D.
• Low Tide Play Therapy & Family Wellness PLLC
• Lower Cape Fear Dermatology Clinic, P.a.
• Lower Cape Fear Hospice Incorporated (Lower Cape Fear Lifecare)
• Lower Cape Fear Hospice Incorporated (Lower Cape Fear LifeCare)
• Lower Cape Fear Hospice, Inc (Lower Cape Fear LifeCare)
• Lower Cape Fear Hospice, Incorporated (Lower Cape Fear LifeCare)

• Health Service Clinic/Center in Wilmington, NC
• Providers in Wilmington, 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.