Brutonville Concerned Citizens, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BRUTONVILLE CONCERNED CITIZENS, INC.

Doing business as

Anthony G. Copeland Adult Day Care Center

Practice address

112 Brutonville School Road
Candor, NC 27229-2722

Phone

(910) 974-9233

Fax

(910) 974-9233

NPI assigned

May 9, 2019

Last updated

May 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Navonne Moore

Title

Treasurer

Phone

(910) 220-5520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anthony G. Copeland Adult Day Care Center Doing business as

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1174188676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 ETTA DR",
            "city": "CANDOR",
            "state": "NC",
            "postal_code": "272299639",
            "telephone_number": "910-220-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BRUTONVILLE SCHOOL ROAD",
            "city": "CANDOR",
            "state": "NC",
            "postal_code": "272292722",
            "telephone_number": "910-974-9233",
            "fax_number": "910-974-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUTONVILLE CONCERNED CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NAVONNE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "910-220-5520",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA",
            "identifier": "1226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthony G. Copeland Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Candor, NC
• Providers in Candor, NC by specialty
• Adult Day Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.