Organization Active NPI

Nanas Touch Family Care Home

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1154528222
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCH092129 Issued in NC
Legal business name
NANAS TOUCH FAMILY CARE HOME
Practice address
2604 Adcox PL
Raleigh, NC 27610-5802
Phone
(919) 673-7717
Fax
(919) 754-0529
NPI assigned
Jul 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Jackie K Mburu, M.ED
Title
President
Phone
(919) 754-0529

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X FCH092129 NC
Adult Care Home Facility 311ZA0620X FCH092129 NC Primary

Addresses

Primary practice location

2604 Adcox PL
Raleigh, NC 27610-5802

Mailing address

2604 Adcox PL
Raleigh, NC 27610-5802
Phone (919) 673-7717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1154528222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 ADCOX PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105802",
            "telephone_number": "919-673-7717",
            "fax_number": "919-754-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 ADCOX PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105802",
            "telephone_number": "919-673-7717",
            "fax_number": "919-754-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANAS TOUCH FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "MBURU",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-754-0529",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCH092129",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCH092129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.