Epic Life Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

EPIC LIFE FAMILY CARE HOME

Practice address

3102 Beaconwood Dr
Greensboro, NC 27455-1145

Phone

(336) 587-7027

NPI assigned

Dec 1, 2020

Last updated

Jun 18, 2025By 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

Mr. Garry Tirrell Hingleton

Title

Ceo

Phone

(336) 520-8233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1073118816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 BEACONWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551145",
            "telephone_number": "336-587-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 BEACONWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551145",
            "telephone_number": "336-587-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC LIFE FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "HINGLETON",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "TIRRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-520-8233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.