NPIMap

Organization Active NPI

Taylor Family Care Home,LLC

  • Adult Care Home Facility
  • Morganton, NC
National Provider Identifier
1194001172
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL012037 Issued in NC
Legal business name
TAYLOR FAMILY CARE HOME,LLC
Doing business as
Clara's Cottage #2
Practice address
5824 Holland St
Morganton, NC 28655-7931
Phone
(828) 391-8360
NPI assigned
Oct 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Authorized official

Name
Clarissa Taylor Walker
Title
Owner
Phone
(704) 674-6364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL012037 NC Primary

Addresses

Primary practice location

5824 Holland St
Morganton, NC 28655-7931

Mailing address

5824 Holland St
Morganton, NC 28655-7931
Phone (828) 391-8360

Other names 1

  • Clara's Cottage #2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clara'S Cottage 15 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319328000000",
    "number": "1194001172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 HOLLAND ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557931",
            "telephone_number": "828-391-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 HOLLAND ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557931",
            "telephone_number": "828-391-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR FAMILY CARE HOME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-674-6364"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL012037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clara's Cottage #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; 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.