Home Away From Home Family Care Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FLC-023-040 Issued in NC

Legal business name

HOME AWAY FROM HOME FAMILY CARE CENTER

Practice address

107 Brett Dr
Shelby, NC 28152-9107

Phone

(704) 313-7086

NPI assigned

Dec 23, 2010

Organization subpart

No

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

Authorized official

Name

Tina Norman

Title

Administrator

Phone

(704) 751-7602

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cortina Norman Watkins, ADMINSTRATOR

  • Nursing Home Administrator
  • Shelby, NC
  • NPI 1093030678
  NPD (past)

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1073817680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281510711",
            "telephone_number": "704-751-7602",
            "fax_number": "704-918-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BRETT DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281529107",
            "telephone_number": "704-313-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-751-7602"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FLC-023-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Buruato Holland, PTA
• Thomas Ryan Hollifield, PA-C
• Johnny Elijah Jahlil Holloway
• Nora M Holmes
• Brianna Harrill Holton, PA
• Sidney Hooper
• Hope Support Systems Inc
• Shalonda Lavette Hopper
• Hopscotch Primary Care Group, PA
• Shayla Truett Horn, BA

• Assisted Living Facility in Shelby, NC
• Providers in Shelby, 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 Dec 23, 2010; 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.