Whites Family Care Home

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

FCL074025 Issued in NC

Legal business name

WHITES FAMILY CARE HOME

Practice address

708 West 3Rd Street
Greenville, NC 27834-1928

Phone

(252) 752-2460

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Miss Bessie Lee White

Title

Administrator

Phone

(252) 752-2460

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1164689758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "address_2": "708 WEST 3RD STREET",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341928",
            "telephone_number": "252-752-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 WEST 3RD STREET",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341928",
            "telephone_number": "252-752-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITES FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BESSIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-752-2460",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "NC",
            "license": "FCL074025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805181",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary White, MA, LAT, ATC
• Amanda Lee Whited, PH.D
• Matthew Charles Whited, PHD
• Christine Hope Whitehurst
• Morgan Whitehurst, DNP, FNP-C
• James Leigh Whiteside, M.D.
• Edward Tucker Whitesides, MD
• Andrea Ruth Whitfield, D.O.
• Douglas Deleon Whitfield, CRNA
• Mary Allison Whitfield, LCMHCA

• Administrator Registered Nurse in Greenville, NC
• Providers in Greenville, NC by specialty
• Administrator Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.