Active NPI
Kelly Turner
- Assisted Living Facility
- Bladenboro, NC
National Provider Identifier
1376089714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- FCL-009-030
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| FCL-009-030 | NC | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turner'S Family Care Home, LLC | Assisted Living Facility | Past | Accepting new patients |
| Powell Physical Therapy LLC | Past | 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.
-
- Assisted Living Facility
- Bladenboro, NC
- NPI 1821534074
-
- Physical Therapy Clinic/Center
- Bladenboro, NC
- NPI 1720694482
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.