Organization Active NPI

Morning Glory Family Care, Inc

  • Adult Care Home Facility
  • Eureka, NC
National Provider Identifier
1497979462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-096-015 Issued in NC
Legal business name
MORNING GLORY FAMILY CARE, INC
Practice address
112 S Church St
Eureka, NC 27830-9279
Phone
(919) 242-4359
Fax
(919) 242-3712
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Shirley Hobbs
Title
Co-Owner
Phone
(919) 242-4359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-096-015 NC Primary

Addresses

Primary practice location

112 S Church St
Eureka, NC 27830-9279

Mailing address

112 S Church St
Eureka, NC 27830-9279

Other identifiers 1

IdentifierTypeStateIssuer
7803006MedicaidNC

National Provider Directory

National Provider Directory

Locations

112 S Church St
Eureka, NC 27830
Phone (919) 242-4359

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497979462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S CHURCH ST",
            "city": "EUREKA",
            "state": "NC",
            "postal_code": "278309279",
            "fax_number": "919-242-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S CHURCH ST",
            "city": "EUREKA",
            "state": "NC",
            "postal_code": "278309279",
            "telephone_number": "919-242-4359",
            "fax_number": "919-242-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING GLORY FAMILY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "919-242-4359"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-096-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803006",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, 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.