The East Family Care 1&2
Organization Active NPI Adult Care Home Facility · Ruffin, NC
NPI 1386988061 · NPPES record last updated Nov 19, 2012
Key facts
- NPI
- 1386988061
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- FCL 079-002 (NC)
- Legal business name
- THE EAST FAMILY CARE 1&2
- Practice address
- 843 Worsham Mill Rd
830 Worsham Mill Rd
Ruffin, NC 27326-9410 - Phone
- (336) 939-7678
- Fax
- (336) 939-9444
- NPI assigned
- Nov 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mernella Mai Sheffield
- Title
- Administrater
- Phone
- (336) 939-7678
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- The East Family Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL 079-002 | NC | Yes |
| Adult Care Home Facility | 311ZA0620X | FCL-079-003 | NC |
Addresses
Primary practice location
843 Worsham Mill Rd
830 Worsham Mill Rd
Ruffin, NC 27326-9410
Mailing address
843 Worsham Mill Rd
830 Worsham Mill Rd
Ruffin, NC 27326-9410
Phone (336) 939-7678
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56138015 | Medicaid | NC |
Other names
- The East Family Care 1&2
Other providers in Ruffin, NC
- Golden Earth Therapies, Inc.
- Calandra Johnson
- Connie Beliczky Reynolds
- Shirley Meadows
- The East Family Care
- The East Family Care 2
All providers in Ruffin, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.