NPIMap

Organization Active NPI

Anthony and Aronderly Rucker Family Care Home #1

  • Assisted Living Facility
  • Reidsville, NC
National Provider Identifier
1245891092
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANTHONY AND ARONDERLY RUCKER FAMILY CARE HOME #1
Doing business as
Anthony and Aronderly Rucker Family Care Home #1
Practice address
3008 NC Highway 150
Reidsville, NC 27320-8112
Phone
(336) 613-0346
Fax
(336) 349-9618
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
George Anthony RuckerNPI 1255996179
Title
Administrator/Owner
Phone
(336) 613-0346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3008 NC Highway 150
Reidsville, NC 27320-8112

Mailing address

3008 NC Highway 150
Reidsville, NC 27320-8112
Phone (336) 613-0346

Other names 1

  • Anthony and Aronderly Rucker Family Care Home #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anthony and Aronderly Rucker Family Care Home 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1245891092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 NC HIGHWAY 150",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273208112",
            "telephone_number": "336-613-0346",
            "fax_number": "336-349-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 NC HIGHWAY 150",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273208112",
            "telephone_number": "336-613-0346",
            "fax_number": "336-349-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY AND ARONDERLY RUCKER FAMILY CARE HOME #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "336-613-0346"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthony and Aronderly Rucker Family Care Home #1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anthony and Aronderly Rucker Family Care Home #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.