Organization Active NPI

A&C Family Care Inc.

  • Adult Care Home Facility
  • Bladenboro, NC
National Provider Identifier
1336320316
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL009020 Issued in NC
Legal business name
A&C FAMILY CARE INC.
Practice address
3012 Burney Rd
Bladenboro, NC 28320-7144
Phone
(910) 648-2100
Fax
(910) 648-2400
NPI assigned
Nov 19, 2007
Last updated
Jul 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Mrs. Angela W McLean
Title
Administrator
Phone
(910) 648-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL009020 NC Primary

Addresses

Primary practice location

3012 Burney Rd
Bladenboro, NC 28320-7144

Mailing address

3054 Burney Rd
Bladenboro, NC 28320-7144
Phone (910) 648-2100

Other identifiers 1

IdentifierTypeStateIssuer
7804858MedicaidNC

National Provider Directory

National Provider Directory

Locations

3012 Burney Rd
Bladenboro, NC 28320
Phone (910) 648-2100

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1336320316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 BURNEY RD",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283207144",
            "telephone_number": "910-648-2100",
            "fax_number": "910-648-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 BURNEY RD",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283207144",
            "telephone_number": "910-648-2100",
            "fax_number": "910-648-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&C FAMILY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-648-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL009020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804858",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladenboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.