Organization Active NPI

Campbell'S Family Care Home

  • Clinic/Center
  • Statesville, NC
National Provider Identifier
1265637516
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
FCL-049-001 Issued in NC
Legal business name
CAMPBELL'S FAMILY CARE HOME
Practice address
1415 Huggins St
Statesville, NC 28677-5015
Phone
(704) 872-1488
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mrs. Margaret Campbell
Title
Administrative Supervisor in Charge
Phone
(704) 872-1488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FCL-049-001 NC Primary

Addresses

Primary practice location

1415 Huggins St
Statesville, NC 28677-5015

Mailing address

1415 Huggins St
Statesville, NC 28677-5015
Phone (704) 872-1488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1265637516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HUGGINS ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775015",
            "telephone_number": "704-872-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HUGGINS ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775015",
            "telephone_number": "704-872-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL'S FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR IN CHARGE",
        "authorized_official_telephone_number": "704-872-1488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "FCL-049-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.