NPIMap

Organization Active NPI

Classic Care Homes

  • Assisted Living Facility
  • Smithfield, NC
National Provider Identifier
1417002445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-051-018 Issued in NC
Legal business name
CLASSIC CARE HOMES
Practice address
101 Annie Parker Cir
Smithfield, NC 27577-3968
Phone
(919) 934-8976
Fax
(919) 934-8976
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Diane Hollamon
Title
Administrator
Phone
(919) 934-8976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-051-018 NC Primary

Addresses

Primary practice location

101 Annie Parker Cir
Smithfield, NC 27577-3968

Mailing address

101 Annie Parker Cir
Smithfield, NC 27577-3968
Phone (919) 934-8976

Other identifiers 1

IdentifierTypeStateIssuer
7801454MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Classic Care Homes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417002445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ANNIE PARKER CIR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773968",
            "telephone_number": "919-934-8976",
            "fax_number": "919-934-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ANNIE PARKER CIR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773968",
            "telephone_number": "919-934-8976",
            "fax_number": "919-934-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAMON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-934-8976",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-051-018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801454",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.