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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Shirley Hobbs
Title
Co-Owner
Phone
(919) 242-4359

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

112 S Church St
Eureka, NC 27830-9279

Mailing address

112 S Church St
Eureka, NC 27830-9279

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7803006MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "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.