Long Acres Family Care Home#1

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

FCL-092-025 Issued in NC

Legal business name

LONG ACRES FAMILY CARE HOME#1

Practice address

400 Parnell Dr
Raleigh, NC 27610-3402

Phone

(919) 231-7500

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ransford Nylander Thompson

Title

President

Phone

(919) 795-8338

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Long Acres Family Care Home 22 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.

• Long Acres Family Care Home #2

  • Adult Care Home Facility
  • Raleigh, NC
  • NPI 1306988530
  NPD tax ID

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154463693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 VILLA GREEN CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122488",
            "telephone_number": "910-676-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNELL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103402",
            "telephone_number": "919-231-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ACRES FAMILY CARE HOME#1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RANSFORD",
        "authorized_official_middle_name": "NYLANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-795-8338",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "FCL-092-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802070",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lomas, PA-C
• Kahlia Nashae Lomax
• April NA'Shell London, LCSWA
• Londry & Modlin Xiii DDS PLLC
• Long Acres Family Care Home #2
• Christopher Matthew Long, M.D./PH.D.
• Cindy Long, MS, RD, LDN, CDCES
• Jennifer Lynn Rochette Long, MD
• Jessica Long
• Katherine D Long, MS, LCMHC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• 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.