NPIMap

Organization Active NPI

Dial'S Family Care Home #5

  • Adult Care Home Facility
  • Pembroke, NC
National Provider Identifier
1336470285
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-078-078 Issued in NC
Legal business name
DIAL'S FAMILY CARE HOME #5
Practice address
1685 Canal Rd
C/O 1698 Canal Rd
Pembroke, NC 28372-9343
Phone
(910) 318-9667
Fax
(910) 522-7327
NPI assigned
Jan 15, 2010
Organization subpart
Yes
Parent organization
DIAL'S FAMILY CARE HOME INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Marlita Moujahed
Title
Administrator
Phone
(910) 318-9667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-078-078 NC Primary

Addresses

Primary practice location

1685 Canal Rd
C/O 1698 Canal Rd
Pembroke, NC 28372-9343

Mailing address

1685 Canal Rd
Pembroke, NC 28372-9343
Phone (910) 318-9667

National Provider Directory

National Provider Directory
Tax ID family
Dial'S Family Care Home 510 organizations share this tax ID, including this one
Part of
Dial'S Family Care Home 5

Other organizations with this tax ID 9

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": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1336470285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 CANAL RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729343",
            "telephone_number": "910-318-9667",
            "fax_number": "910-522-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 CANAL RD",
            "address_2": "C/O 1698 CANAL RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729343",
            "telephone_number": "910-318-9667",
            "fax_number": "910-522-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAL'S FAMILY CARE HOME #5",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAL'S FAMILY CARE HOME INCORPORATED",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "MOUJAHED",
        "authorized_official_first_name": "MARLITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-318-9667"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-078-078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.