Organization Active NPI

Prather's Family Care Home

  • Health Service Clinic/Center
  • Red Springs, NC
National Provider Identifier
1083898480
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
FCH078011 Issued in NC
Legal business name
PRATHER'S FAMILY CARE HOME
Practice address
8572 Old Red Springs Rd
Red Springs, NC 28377-9391
Phone
(910) 843-1174
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Mrs. Betty Prather
Title
Owner
Phone
(910) 843-1174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X FCH078011 NC Primary

Addresses

Primary practice location

8572 Old Red Springs Rd
Red Springs, NC 28377-9391

Mailing address

8572 Old Red Springs Rd
Red Springs, NC 28377-9391
Phone (910) 843-1174

Other identifiers 1

IdentifierTypeStateIssuer
7802358MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1083898480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8572 OLD RED SPRINGS RD",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283779391",
            "telephone_number": "910-843-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8572 OLD RED SPRINGS RD",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283779391",
            "telephone_number": "910-843-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATHER'S FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-843-1174",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "FCH078011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802358",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Springs, NC

Sources for this page

  • 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.