Active NPI
Crowder Family Care
- Assisted Living Facility
- Star, NC
National Provider Identifier
1114046778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- FCL062002
- Legal business name
- CROWDER FAMILY CARE
- Practice address
- 444 Craven St
Star, NC 27356-0602 - Phone
- (910) 428-4675
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tom W Crowder
- Title
- Owner
- Phone
- (910) 428-4675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FCL062002 | NC | Primary |
Addresses
Primary practice location
444 Craven St
Star, NC 27356-0602
Mailing address
PO Box 602
Star, NC 27356-0602
Phone (910) 428-4675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801949 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Crowder Family Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Star, NC
- NPI 1326166455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114046778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602",
"city": "STAR",
"state": "NC",
"postal_code": "273560602",
"telephone_number": "910-428-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 CRAVEN ST",
"city": "STAR",
"state": "NC",
"postal_code": "273560602",
"telephone_number": "910-428-4675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWDER FAMILY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CROWDER",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-428-4675"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "FCL062002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7801949",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Star, NC
- Brookstone Haven of Star Assisted Living, LLC
- Cagle Rest Home
- Cagles Rest Home (Poplar Springs Rest Home)
- Carolinas Alliance for Residential Excellence - Star, LLC (Montgomery Senior Living)
- CNC Family Medicine, PLLC
- Wanda Michelle Dees, FNP
- Goshen Medical Center Incorporated (GMC Pharmacy at Star)
- Goshen Medical Center Incorporated (Goshen Medical Center - Star)
- Helping Hands Home Care Agency
- Karen Wilkie Hoerner, RN, MSN,PNP,FNP
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.