Eastway Family Care

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

FCL-001-151 Issued in NC

Legal business name

EASTWAY FAMILY CARE

Practice address

108 Eastway LN
Graham, NC 27253-3704

Phone

(336) 436-0219

Fax

(336) 270-3925

NPI assigned

Aug 12, 2013

Last updated

Aug 12, 2013By 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

Mr. Jay L Mebane

Title

Administrator-Owner

Phone

(336) 213-3839

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1265865489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EASTWAY LN",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533704",
            "telephone_number": "336-436-0219",
            "fax_number": "336-270-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EASTWAY LN",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533704",
            "telephone_number": "336-436-0219",
            "fax_number": "336-270-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWAY FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "MEBANE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR-OWNER",
        "authorized_official_telephone_number": "336-213-3839",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Developmental Pathways, Inc.
• Divine Wisdom Intervention, LLC
• Stephanie Dunn, RDN
• Tyler Michael Dwyer, CCC-SLP
• E-Merge Resources
• Eckerd Corporation (Rite Aid Pharmacy 11332)
• Cary Eddy, OTR/L
• Edge of Mind Counseling PLLC
• Ashley Venise Edgerton, M.S., CCC-SLP
• Breanna Lea Ellington, LPCA

• Custodial Care Facility in Graham, NC
• Providers in Graham, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.