Anthony Street Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ANTHONY STREET FAMILY CARE HOME

Practice address

123 S Anthony St
Burlington, NC 27215-6601

Phone

(336) 228-7897

Fax

(336) 228-1523

NPI assigned

May 23, 2013

Last updated

May 23, 2013By 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

Miss Pamela Vonzell Fowler

Title

Owner/Adminstrator

Phone

(336) 228-7897

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1386081909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S ANTHONY ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156601",
            "telephone_number": "336-228-7897",
            "fax_number": "336-228-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S ANTHONY ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156601",
            "telephone_number": "336-228-7897",
            "fax_number": "336-228-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY STREET FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "VONZELL",
        "authorized_official_title_or_position": "OWNER/ADMINSTRATOR",
        "authorized_official_telephone_number": "336-228-7897",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Burlington, NC
• Providers in Burlington, 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 May 23, 2013; 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.