Inspirational Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-073-019 Issued in NC

Legal business name

INSPIRATIONAL FAMILY CARE HOME

Practice address

719 Walnut Grove Church Rd
Hurdle Mills, NC 27541-7993

Phone

(336) 364-4074

Fax

(336) 364-4074

NPI assigned

Mar 11, 2014

Last updated

Mar 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joel Gaya

Title

Administrator

Phone

(336) 364-4074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1386060622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 WALNUT GROVE CHURCH RD",
            "city": "HURDLE MILLS",
            "state": "NC",
            "postal_code": "275417993",
            "telephone_number": "336-364-4074",
            "fax_number": "336-364-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 WALNUT GROVE CHURCH RD",
            "city": "HURDLE MILLS",
            "state": "NC",
            "postal_code": "275417993",
            "telephone_number": "336-364-4074",
            "fax_number": "336-364-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRATIONAL FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "GAYA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-364-4074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-073-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Hurdle Mills, NC
• Providers in Hurdle Mills, 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 Mar 11, 2014; 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.