McKeithen Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL063006 Issued in NC

Legal business name

MCKEITHEN FAMILY CARE HOME

Practice address

287 Furr Rd
Vass, NC 28394-0163

Phone

(910) 245-3567

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Barbara McKeithen

Title

Administrator

Phone

(910) 245-3567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1164583167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283940163",
            "telephone_number": "910-245-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 FURR RD",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283940163",
            "telephone_number": "910-245-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKEITHEN FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "MCKEITHEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-245-3567"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL063006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Grace Gately
• Jennifer A. Hanley, DNP PMH/FNP-BC
• Huston Lewis Hastie, DMD
• Joyce Hester
• Louis Joseph Marchetti, MD
• Moore Family Care PA
• Jennifer Evans Moore, NP
• Neighborhood Youth Leadership
• Todd R Nicholson, P.A.
• Lisa Renee Oldroyd, FNP-BC

• Adult Care Home Facility in Vass, NC
• Providers in Vass, 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 Aug 30, 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.