NPIMap

Organization Active NPI

Dial'S Family Care Home #9

  • Adult Care Home Facility
  • Pembroke, NC
National Provider Identifier
1376755215
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-078-112 Issued in NC
Legal business name
DIAL'S FAMILY CARE HOME #9
Practice address
1685 Canal Rd
Pembroke, NC 28372-9343
Phone
(910) 522-7327
Fax
(910) 521-1197
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Mr. Bobbie Dial
Title
Owner
Phone
(910) 522-7327

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X FCL-078-026 NC
Adult Care Home Facility 311ZA0620X FCL-078-112 NC Primary

Addresses

Primary practice location

1685 Canal Rd
Pembroke, NC 28372-9343

Mailing address

PO Box 4134
Pembroke, NC 28372-9343
Phone (910) 522-7327

Other identifiers 1

IdentifierTypeStateIssuer
1376755215MedicaidNC

National Provider Directory

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

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1376755215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4134",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729343",
            "telephone_number": "910-522-7327",
            "fax_number": "910-521-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 CANAL RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729343",
            "telephone_number": "910-522-7327",
            "fax_number": "910-521-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAL'S FAMILY CARE HOME #9",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-522-7327",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "FCL-078-026",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-078-112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376755215",
            "state": "NC"
        }
    ],
    "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 May 16, 2018; 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.