NPIMap

Organization Active NPI

Lawsons Family Care 3

  • Assisted Living Facility
  • Reidsville, NC
National Provider Identifier
1093817207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL-079-012 Issued in NC
Legal business name
LAWSONS FAMILY CARE 3
Practice address
5860 Highway Business 29
Reidsville, NC 27323
Phone
(336) 342-3968
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lea O Gwynn
Title
Owner Administrator
Phone
(336) 349-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL-079-012 NC Primary

Addresses

Primary practice location

5860 Highway Business 29
Reidsville, NC 27323

Mailing address

5860 Highway Business 29
P.O. Box 2361
Reidsville, NC 27323
Phone (336) 342-3968

Other identifiers 1

IdentifierTypeStateIssuer
7805469OtherNCEDS NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Ashley's Place2 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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093817207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 HIGHWAY BUSINESS 29",
            "address_2": "P.O. BOX 2361",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "27323",
            "telephone_number": "336-342-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 HIGHWAY BUSINESS 29",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "27323",
            "telephone_number": "336-342-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWSONS FAMILY CARE 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GWYNN",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "336-349-3610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-079-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS NUMBER",
            "identifier": "7805469",
            "state": "NC"
        }
    ],
    "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 Aug 22, 2020; 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.