Crain Enterprises, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-055-009 Issued in NC

Legal business name

CRAIN ENTERPRISES, INC

Doing business as

Crain Family Care Home

Practice address

718 Hoke St
Lincolnton, NC 28092-3032

Phone

(704) 674-6364

NPI assigned

Jan 9, 2007

Last updated

Jul 26, 2007By 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

Mrs. Clarissa Taylor Walker

Title

Owner Administrator

Phone

(704) 674-6364

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crain Family Care Home Doing business as

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1316096191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 HOKE ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923032",
            "telephone_number": "704-674-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 HOKE ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923032",
            "telephone_number": "704-674-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIN ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "704-674-6364",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-055-009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805160",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crain Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Green Cornwell, M.S., OTR/L
• Gary Dean Cornwell, PHARMACIST
• Rhonda Sherwood Cornwell, MPT
• Counsel for Hope PC
• Michael L Crabill
• Tracy Anne Crincoli, ATC
• Michael Crinion, DPT
• Crowned With Confidence LLC
• Charles E. Crumley, M.D.
• David E Thome DDS PLLC I (Lincolnton Pediatric Dentistry)

• Adult Care Home Facility in Lincolnton, NC
• Providers in Lincolnton, 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 Jul 26, 2007; 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.