Shade Tree Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-039-015 Issued in NC

Legal business name

SHADE TREE FAMILY CARE HOME

Practice address

114 Ward Ave
Oxford, NC 27565-3150

Phone

(252) 432-1025

NPI assigned

Jul 23, 2015

Organization subpart

No

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

Authorized official

Name

Deborah J Ramsey, RNNPI 1750764742

Title

Administrator

Phone

(252) 432-1025

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah J Ramsey, RN

  • Adult Care Home Facility
  • Oxford, NC
  • NPI 1750764742
  NPD (past) Authorized official

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1245615913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WARD AVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653150",
            "telephone_number": "252-432-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WARD AVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653150",
            "telephone_number": "252-432-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADE TREE FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-432-1025",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-039-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Allan Satterwhite, DC
• Peyton Roberson Satterwhite, FNP-BC
• Vincent L. Scavo, RPH
• Grace Separk
• William Smith Seymour Jr., DMD
• Charles Zachary Sheets
• Shelley Barker Olson, DDS, PA
• David Shumate Sr., DPT, RAC
• Janelle Adenika Shumate, M.D.
• Sid Pazokian D.D.S., P.a., II

• Adult Care Home Facility in Oxford, NC
• Providers in Oxford, 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 Jul 23, 2015; 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.