Schenck Family Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL055001 Issued in NC

Legal business name

SCHENCK FAMILY CARE HOME

Practice address

4823 Paysour Pond Rd
Iron Station, NC 28080-0041

Phone

(704) 735-6565

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lillie Mae Schenck

Title

Owner

Phone

(704) 735-6565

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1124288964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "IRON STATION",
            "state": "NC",
            "postal_code": "280800041",
            "telephone_number": "704-735-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 PAYSOUR POND RD",
            "city": "IRON STATION",
            "state": "NC",
            "postal_code": "280800041",
            "telephone_number": "704-735-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHENCK FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHENCK",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-735-6565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL055001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802751",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Mexcur, MS. ED, LIMHP, LADC,
• Adelle Minerich
• Tammie Huddle Moody, SLP
• Peaceful Steps Counseling Center PLLC
• Caroline Marie Raynor
• Julie Tompkins
• Jessica B Waddell, LMBT
• Alisa Hoyle Wheeler, LCMHCA
• Without Limits Community Base Services

• Assisted Living Facility in Iron Station, NC
• Providers in Iron Station, 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 Jun 16, 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.