Knoxs House Family Care II

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL090-028 Issued in NC

Legal business name

KNOXS HOUSE FAMILY CARE II

Doing business as

Knoxs House

Practice address

2918 Duck Point Dr
Monroe, NC 28110-8813

Phone

(704) 475-5821

Fax

(704) 475-7207

NPI assigned

Mar 2, 2009

Last updated

Aug 9, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

KNOXS HOUSEAs reported in NPPES

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

Authorized official

Name

Mrs. Shelley Yvonne Knox, OWNER

Title

Administrator

Phone

(704) 475-5821

Specialties & licenses 1

Addresses

Other names 1

• Knoxs House Doing business as

Part of

Knoxs House Family Care II

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Knoxs House

  • Nursing Home Administrator
  • Monroe, NC
  • NPI 1326263864
  NPPES parent name

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1437399524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 DUCK POINT DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108813",
            "telephone_number": "704-475-5821",
            "fax_number": "704-475-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 DUCK POINT DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108813",
            "telephone_number": "704-475-5821",
            "fax_number": "704-475-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXS HOUSE FAMILY CARE II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KNOXS HOUSE",
        "enumeration_date": "2009-03-02",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-475-5821",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL090-028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knoxs House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliana O Kissiedu, M.D
• Alan Klochany, MD
• Andrea Thomas Knight
• Walter Earl Knox, LCSW
• Knoxs House
• Michelle Evelyn Kobe, OTR/L
• Artur Kobylas, PT
• Shannon McManus Kohnle, LMBT
• Marcie Lyn Koontz, O.D.
• Todd Koos

• Adult Care Home Facility in Monroe, NC
• Providers in Monroe, 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 Aug 9, 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.