Humphrey Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HUMPHREY FAMILY CARE HOME

Practice address

6245 Burton Chapel Rd
Mebane, NC 27302-7364

Phone

(336) 421-9560

Fax

(336) 421-3935

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. David A. Humphrey

Title

Owner

Phone

(434) 575-5696

Specialties & licenses 1

Addresses

Tax ID family

Humphrey Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Humphrey Family Care Home

  • Adult Care Home Facility
  • Elon, NC
  • NPI 1275968679
  NPD tax ID

Locations

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1457656100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 HORSESHOE TRL",
            "city": "ALTON",
            "state": "VA",
            "postal_code": "245203084",
            "telephone_number": "434-575-5696",
            "fax_number": "434-575-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 BURTON CHAPEL RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027364",
            "telephone_number": "336-421-9560",
            "fax_number": "336-421-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPHREY FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-575-5696",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Mebane, NC
• Providers in Mebane, 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 Oct 2, 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.