Kellams Family Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL079057 Issued in NC

Legal business name

KELLAMS FAMILY CARE INC

Practice address

109 Roanoke St
Reidsville, NC 27320-3023

Phone

(336) 349-4255

NPI assigned

Jun 1, 2008

Organization subpart

No

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

Authorized official

Name

Latoya Lenore Thurston-Griggs

Title

Manager

Phone

(336) 558-5253

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212278400000",
    "number": "1275791634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ROANOKE ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203023",
            "telephone_number": "336-349-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ROANOKE ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203023",
            "telephone_number": "336-349-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLAMS FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-01",
        "last_updated": "2008-06-01",
        "status": "A",
        "authorized_official_last_name": "THURSTON-GRIGGS",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "LENORE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-558-5253"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL079057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Samuel Karb, M.D.
• Megan Marie Kaufman, OTR L
• John Wayne Keeling, M.D.
• Kellam'S Family Care
• Kellams Family Care Home LLC
• Kerr Drug Inc a Delaware Company
• Trina Serena Kidd-Simmons, TRANSPPRTION PROVIDE
• Patricia L. Kish, COF, CFM, CFTS
• Ebonie Kittrell, LCSWA
• Bethany Klein

• Assisted Living Facility in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.