NPIMap

Organization Active NPI

Beatrice Petway

  • Adult Care Home Facility
  • Rocky Mount, NC
National Provider Identifier
1164567715
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL033004 Issued in NC
Legal business name
BEATRICE PETWAY
Practice address
1101 Hill St
Rocky Mount, NC 27801-6002
Phone
(252) 813-5960
Fax
(252) 442-1147
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Authorized official

Name
Beatrice Petway
Title
Owner
Phone
(252) 813-5960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL033004 NC Primary

Addresses

Primary practice location

1101 Hill St
Rocky Mount, NC 27801-6002

Mailing address

730 Marigold St
Rocky Mount, NC 27801-5908
Phone (252) 813-5960

Other identifiers 1

IdentifierTypeStateIssuer
7804210MedicaidNC

Other names 1

  • WE CARE FAMILY CARE HOME # 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beatrice Petway4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1101 Hill St
Rocky Mount, NC 27801
Phone (252) 813-5960

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696032000000",
    "number": "1164567715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MARIGOLD ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015908",
            "telephone_number": "252-813-5960",
            "fax_number": "252-442-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HILL ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278016002",
            "telephone_number": "252-813-5960",
            "fax_number": "252-442-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATRICE PETWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A",
        "authorized_official_last_name": "PETWAY",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-813-5960"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL033004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804210",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WE CARE FAMILY CARE HOME # 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; 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.