Bullock Family Care Home of Nashville Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-064-008 Issued in NC

Legal business name

BULLOCK FAMILY CARE HOME OF NASHVILLE INC.

Practice address

619 S Boddie St
Nashville, NC 27856-1229

Phone

(252) 459-6601

Fax

(252) 459-8014

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Iva Lynn Lowe, LPN

Title

Administrator/Owner

Phone

(252) 478-7331

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1144408394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S BODDIE ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561229",
            "telephone_number": "252-459-6601",
            "fax_number": "252-459-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S BODDIE ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561229",
            "telephone_number": "252-459-6601",
            "fax_number": "252-459-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLOCK FAMILY CARE HOME OF NASHVILLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "IVA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "252-478-7331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-064-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Nashville, NC
• Providers in Nashville, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.