NPIMap

Organization Active NPI

Bakers Family Care Home #2

  • Adult Care Home Facility
  • Wendell, NC
National Provider Identifier
1295083467
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-092-173 Issued in NC
Legal business name
BAKERS FAMILY CARE HOME #2
Practice address
7112 Outrigger Dr
Wendell, NC 27591-7240
Phone
(919) 812-4393
NPI assigned
Aug 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Mrs. Willie Mae Baker
Title
Administrator
Phone
(919) 269-5852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-092-173 NC Primary

Addresses

Primary practice location

7112 Outrigger Dr
Wendell, NC 27591-7240

Mailing address

7112 Outrigger Dr
Wendell, NC 27591-7240
Phone (919) 812-4393

National Provider Directory

National Provider Directory
Tax ID family
Baker'S Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1295083467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7112 OUTRIGGER DR",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275917240",
            "telephone_number": "919-812-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 OUTRIGGER DR",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275917240",
            "telephone_number": "919-812-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERS FAMILY CARE HOME #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-269-5852",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-092-173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wendell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.