Jamie R. Kirby

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL012033 Issued in NC

Legal business name

JAMIE R. KIRBY

Doing business as

East View Family Care Home

Practice address

3208 Tex's Fish Camp Road
Connellys Springs, NC 28612-7633

Phone

(828) 397-6090

NPI assigned

May 4, 2007

Last updated

Sep 1, 2009By 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

Jamie Rockett Kirby

Title

Administrator/Owner

Phone

(828) 397-6090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East View Family Care Home Doing business as

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1235341728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 TEX'S FISH CAMP ROAD",
            "city": "CONNELLYS SPRINGS",
            "state": "NC",
            "postal_code": "286127633",
            "telephone_number": "828-397-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 TEX'S FISH CAMP ROAD",
            "city": "CONNELLYS SPRINGS",
            "state": "NC",
            "postal_code": "286127633",
            "telephone_number": "828-397-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE R. KIRBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ROCKETT",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "828-397-6090"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL012033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "7806180",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East View Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Health Care Center of Burke Limited Partnership (Carolina Rehab Center of Burke)
• Crystal NMN Cha, PHARMD
• Leslie S Corley, MA, LPC, NCC
• Fairview Rest Home
• Julie Granger, RPH
• Nathan A Riner, PT

• Adult Care Home Facility in Connellys Springs, NC
• Providers in Connellys Springs, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.