Organization Active NPI

Bennett's Family Care Services Inc.

  • Adult Care Home Facility
  • Greensboro, NC
National Provider Identifier
1093906182
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
BENNETT'S FAMILY CARE SERVICES INC.
Practice address
3225 Edenwood Dr
Greensboro, NC 27406-5219
Phone
(336) 456-5349
Fax
(336) 379-0999
NPI assigned
Aug 5, 2007
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Mr. Kelly Bennett
Title
Executive Director
Phone
(336) 456-5349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NC Primary

Addresses

Primary practice location

3225 Edenwood Dr
Greensboro, NC 27406-5219

Mailing address

PO Box 3325
Greensboro, NC 27402-3325
Phone (336) 456-5349

Other identifiers 1

IdentifierTypeStateIssuer
7801820MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Bennett's Family Care Services Inc2 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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1093906182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3325",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274023325",
            "telephone_number": "336-456-5349",
            "fax_number": "336-379-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 EDENWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065219",
            "telephone_number": "336-456-5349",
            "fax_number": "336-379-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT'S FAMILY CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-456-5349",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801820",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.