Sozo Family Care Home Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-040-009 Issued in NC

Legal business name

SOZO FAMILY CARE HOME INC

Practice address

2757 Mewborn Church Rd
Snow Hill, NC 28580-8973

Phone

(252) 747-3008

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Miss Keosha L HoustonNPI 1316438252

Title

Owner

Phone

(615) 426-6174

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keosha Lashell Houston, PTA

  • Physical Therapy Assistant
  • Fayetteville, NC
  • NPI 1316438252
  NPD (past) Authorized official

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1376815365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 MEWBORN CHURCH RD",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285808973",
            "telephone_number": "252-747-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 MEWBORN CHURCH RD",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285808973",
            "telephone_number": "252-747-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZO FAMILY CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "KEOSHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-426-6174",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-040-009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shackleford Guiding Light LLC
• Sandra Barrett Shackleford
• Sincere Focused Care Managemnet, Inc.
• Snow Hill EMS, Inc.
• Snow Hill Healthcare, LLC
• Speight Transportation LLC
• Joann Stevens
• Jacquelyn Amber Stone, MD
• Erin Stover, PA-C
• Jacob Stover, DPT

• Adult Care Home Facility in Snow Hill, NC
• Providers in Snow Hill, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.