NPIMap

Organization Active NPI

Personal Touch Family Care Home #2

  • Assisted Living Facility
  • Rowland, NC
National Provider Identifier
1275760548
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL078019 Issued in NC
Legal business name
PERSONAL TOUCH FAMILY CARE HOME #2
Practice address
2610 Hwy 130 West
Rowland, NC 28383-0002
Phone
(910) 422-0121
Fax
(910) 422-3610
NPI assigned
Jun 15, 2009
Last updated
Jun 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Edna L Chavis
Title
Administrator
Phone
(910) 422-9998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL078019 NC Primary

Addresses

Primary practice location

2610 Hwy 130 West
Rowland, NC 28383-0002

Mailing address

2610 Hwy 130 West
Rowland, NC 28383-6902
Phone (910) 422-0121

Other identifiers 2

IdentifierTypeStateIssuer
7802963MedicaidNC
7802958MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Personal Touch Family Care Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1275760548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 HWY 130 WEST",
            "city": "ROWLAND",
            "state": "NC",
            "postal_code": "283836902",
            "telephone_number": "910-422-0121",
            "fax_number": "910-422-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 HWY 130 WEST",
            "city": "ROWLAND",
            "state": "NC",
            "postal_code": "283830002",
            "telephone_number": "910-422-0121",
            "fax_number": "910-422-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL TOUCH FAMILY CARE HOME #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-422-9998"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL078019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802963",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802958",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland, NC

Sources for this page

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