Grace Castle Family Care Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACE CASTLE FAMILY CARE HOME

Practice address

108 Bullock St
Franklinton, NC 27525-1620

Phone

(919) 728-8223

Fax

(919) 728-8223

NPI assigned

Nov 25, 2022

Last updated

Nov 25, 2022By 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. Martina Nyma Roberts

Title

Administrator

Phone

(919) 728-8223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1215647722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BULLOCK ST",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275251620",
            "telephone_number": "919-728-8223",
            "fax_number": "919-728-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BULLOCK ST",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275251620",
            "telephone_number": "919-728-8223",
            "fax_number": "919-728-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CASTLE FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_middle_name": "NYMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-728-8223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.