Onycha Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ONYCHA FAMILY CARE HOME

Practice address

325 Jack Branch Rd
Windsor, NC 27983-7407

Phone

(252) 325-6507

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Evon Gilliam

Title

Administrator

Phone

(252) 348-2264

Specialties & licenses 1

Addresses

Other names 1

• MURPHY FAMILY CARE HOME Other name

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1225548183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 JACK BRANCH RD",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279837407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 JACK BRANCH RD",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279837407",
            "telephone_number": "252-325-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYCHA FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "EVON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-348-2264"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MURPHY FAMILY CARE HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Windsor, NC
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.