NPIMap

Organization Active NPI

Procare Family Care Home LLC

  • Clinic/Center
  • Rowland, NC
National Provider Identifier
1285789388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
FCL-078-066 Issued in NC
Legal business name
PROCARE FAMILY CARE HOME LLC
Practice address
2952 Alfordsville Road
Rowland, NC 28383-0644
Phone
(910) 422-9006
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hayward Lawrence McCormick
Title
Administrator
Phone
(910) 422-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FCL-078-066 NC Primary

Addresses

Primary practice location

2952 Alfordsville Road
Rowland, NC 28383-0644

Mailing address

2952 Alfordsville Road
P.O Box 644
Rowland, NC 28383-0644
Phone (910) 422-9006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285789388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 ALFORDSVILLE ROAD",
            "address_2": "P.O BOX 644",
            "city": "ROWLAND",
            "state": "NC",
            "postal_code": "283830644",
            "telephone_number": "910-422-9006",
            "fax_number": "910-422-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 ALFORDSVILLE ROAD",
            "city": "ROWLAND",
            "state": "NC",
            "postal_code": "283830644",
            "telephone_number": "910-422-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE FAMILY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "HAYWARD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-422-9006"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "FCL-078-066",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.