Active NPI
Canady Family Care Inc
- Adult Care Home Facility
- Elizabethtown, NC
National Provider Identifier
1487840187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL009002
- Legal business name
- CANADY FAMILY CARE INC
- Practice address
- 2810 W Broad St
Elizabethtown, NC 28337-9245 - Phone
- (910) 862-3264
- NPI assigned
- Sep 18, 2007
- Last updated
- Aug 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christine Canady
- Title
- Administrator
- Phone
- (910) 862-3264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL009002 | NC | Primary |
Addresses
Primary practice location
2810 W Broad St
Elizabethtown, NC 28337-9245
Mailing address
P.O. Box 674
2810 W. Broad Street
Elizabethtown, NC 28337
Phone (910) 862-3264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 948347451P | Medicaid | NC |
Other names 1
- Canady Family Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219795200000",
"number": "1487840187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 674",
"address_2": "2810 W. BROAD STREET",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "28337",
"telephone_number": "910-862-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W BROAD ST",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283379245",
"telephone_number": "910-862-3264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANADY FAMILY CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2008-08-27",
"status": "A",
"authorized_official_last_name": "CANADY",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-862-3264",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "FCL009002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "948347451P",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Canady Family Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elizabethtown, NC
- Jerri Ann Uhlir Britt, PHARM D
- Manetta Brown
- Shelley Yvonne Brown, NP-C
- Trelena Christeen Brown, PA
- Jeffrey Brian Campbell, MSW
- Cape Fear Valley Health Medical Group LLC (Cape Fear Valley Bladen Surgical Specialists)
- Cape Fear Valley Health System Specialty Group, LLC (Bladen Sleep Disorders Clinic)
- Carolina Home Care,LLC
- Carter Clinic, P a
- Kathryn Carter, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.