Organization Active NPI

Jeffreys Family Care

  • Adult Care Home Facility
  • Burlington, NC
National Provider Identifier
1235312133
Registry record updated Dec 13, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FC1001016 Issued in NC
Legal business name
JEFFREYS FAMILY CARE
Practice address
412 New St
Burlington, NC 27217-2438
Phone
(336) 226-3700
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mrs. Laverne Jeffreys Jones
Title
Administrator/Owner
Phone
(336) 226-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FC1001016 NC Primary

Addresses

Primary practice location

412 New St
Burlington, NC 27217-2438

Mailing address

PO Box 2704
Burlington, NC 27216-2704
Phone (336) 226-3700

Other identifiers 1

IdentifierTypeStateIssuer
7802377MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1235312133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2704",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162704",
            "telephone_number": "336-226-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NEW ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172438",
            "telephone_number": "336-226-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREYS FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAVERNE",
        "authorized_official_middle_name": "JEFFREYS",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "336-226-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FC1001016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802377",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.