Carrie Douglas

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

CARRIE DOUGLAS

Doing business as

Douglas Family Care Home

Practice address

1439 US Highway 13 S
Ahoskie, NC 27910-8125

Phone

(252) 513-8120

Fax

(252) 358-5068

NPI assigned

Jul 23, 2014

Last updated

Mar 6, 2024By 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

Mrs. Carrie Simons Douglas

Title

Administrator

Phone

(252) 287-0180

Specialties & licenses 1

Addresses

Other names 1

• Douglas Family Care Home Doing business as

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1487062311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 US HIGHWAY 13 S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108125",
            "telephone_number": "252-513-8120",
            "fax_number": "252-358-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 US HIGHWAY 13 S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108125",
            "telephone_number": "252-513-8120",
            "fax_number": "252-358-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE DOUGLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "SIMONS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-287-0180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Residential Services, Inc
• Carolina Residential Services, Inc
• Carolina Residential Services, Inc.
• Carolina's Home Care
• Carolina's Home Care Inc
• Timothy Brent Chafin, M.D.
• Melvin C Chamblee, CFTS
• Haley Chappell
• Harsh Chawla, MD
• Jahaya L Cherry, CADC

• Custodial Care Facility in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.