Organization Active NPI

Taylor Family Care Home

  • Adult Care Home Facility
  • Valdese, NC
National Provider Identifier
1154470813
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-012-025 Issued in NC
Legal business name
TAYLOR FAMILY CARE HOME
Practice address
2572 Ridgeview Dr
Valdese, NC 28690-9573
Phone
(828) 437-2512
Fax
(828) 439-8524
NPI assigned
Jan 10, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Betty McCurry Taylor
Title
Owner Administrator
Phone
(828) 437-2512

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Taylor Family Care Home (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-012-025 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

2572 Ridgeview Dr
Valdese, NC 28690-9573

Mailing address

2572 Ridgeview Dr
Valdese, NC 28690-9573
Phone (828) 437-2512

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7804888MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2007.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1154470813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 RIDGEVIEW DR",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "286909573",
            "telephone_number": "828-437-2512",
            "fax_number": "828-439-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 RIDGEVIEW DR",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "286909573",
            "telephone_number": "828-437-2512",
            "fax_number": "828-439-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "MCCURRY",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "828-437-2512",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-012-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804888",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdese, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.