Organization Active NPI

Carolina Family Care Home LLC

  • Adult Mental Health Clinic/Center
  • Morganton, NC
National Provider Identifier
1285890145
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
FCL-012-035 Issued in NC
Legal business name
CAROLINA FAMILY CARE HOME LLC
Practice address
5816 Willow Point Dr
Morganton, NC 28655-8602
Phone
(828) 390-4370
Fax
(828) 390-4370
NPI assigned
Jul 31, 2008
Organization subpart
Yes
Parent organization
CAROLINA FAMILY CARE HOME INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Mr. Bobby Lynn JollyNPI 1760666291
Title
President/ Onwer
Phone
(828) 390-4370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X FCL-012-035 NC Primary

Addresses

Primary practice location

5816 Willow Point Dr
Morganton, NC 28655-8602

Mailing address

302 Charles Ave
Morganton, NC 28655-9059
Phone (828) 390-4370

Other names 1

  • Carolina Family Care Home Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Carolina Family Care Home LLC2 organizations share this tax ID, including this one
Part of
Carolina Family Care Home LLC

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1285890145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CHARLES AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559059",
            "telephone_number": "828-390-4370",
            "fax_number": "828-391-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 WILLOW POINT DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558602",
            "telephone_number": "828-390-4370",
            "fax_number": "828-390-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY CARE HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA FAMILY CARE HOME INC.",
        "enumeration_date": "2008-07-31",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/ ONWER",
        "authorized_official_telephone_number": "828-390-4370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "FCL-012-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Family Care Home Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.