Cham-Net Family Care Home

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

FCL-001-062 Issued in NC

Legal business name

CHAM-NET FAMILY CARE HOME

Practice address

1124 Thomas St
Burlington, NC 27215-6965

Phone

(336) 227-0703

Fax

(336) 229-1081

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By 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. Clara Louise Griffis

Title

Administrator

Phone

(336) 226-5060

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184766610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 RICHMOND AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171525",
            "telephone_number": "336-226-5060",
            "fax_number": "336-229-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 THOMAS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156965",
            "telephone_number": "336-227-0703",
            "fax_number": "336-229-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAM-NET FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-226-5060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803164",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.