Individual provider Active NPI

Kelly Turner

  • Assisted Living Facility
  • Bladenboro, NC
National Provider Identifier
1376089714
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL-009-030 Issued in NC
Practice address
2105 NC 410 Hwy
Bladenboro, NC 28320-8053
Phone
(910) 809-0021
Fax
(910) 809-0021
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL-009-030 NC Primary

Addresses

Primary practice location

2105 NC 410 Hwy
Bladenboro, NC 28320-8053

Mailing address

2105 NC 410 Hwy
Bladenboro, NC 28320-8053
Phone (910) 809-0021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
FCL-009-030NCMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Turner'S Family Care Home, LLC Assisted Living Facility Past Accepting new patients
Powell Physical Therapy LLC PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1376089714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 NC 410 HWY",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283208053",
            "telephone_number": "910-809-0021",
            "fax_number": "910-809-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 NC 410 HWY",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283208053",
            "telephone_number": "910-809-0021",
            "fax_number": "910-809-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-009-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 9, 2017; 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.