D&a Family Care Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

D&A FAMILY CARE HOME LLC

Practice address

15 Gum Ave
Bolton, NC 28423

Phone

(910) 830-5039

Fax

(888) 633-7817

NPI assigned

May 7, 2021

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asmanda Lacewell

Title

Owner

Phone

(910) 830-5039

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1306420294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "RIEGELWOOD",
            "state": "NC",
            "postal_code": "284560336",
            "fax_number": "888-633-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GUM AVE",
            "city": "BOLTON",
            "state": "NC",
            "postal_code": "28423",
            "telephone_number": "910-830-5039",
            "fax_number": "888-633-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&A FAMILY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "LACEWELL",
        "authorized_official_first_name": "ASMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-830-5039"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alacewell.cbhc@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "software",
            "address_1": "15 Gum Ave",
            "city": "Bolton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Elite Care of NC, LLC
• Goshen Medical Center Incorporated
• Kelly Barnes Laham, ANP-BC
• Kimberly Anne Major, PAC
• Kathy Lynn McKenzie, NP

• Adult Care Home Facility in Bolton, NC
• Providers in Bolton, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.