Cypress Landing Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-046-017 Issued in NC

Legal business name

CYPRESS LANDING FAMILY CARE HOME

Practice address

622 Cullen Rd
Harrellsville, NC 27942-9766

Phone

(252) 356-2260

Fax

(252) 356-2260

NPI assigned

Apr 4, 2007

Last updated

Sep 15, 2026By 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. Mable P White

Title

Administrator

Phone

(252) 356-2260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1568584050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 CULLEN RD",
            "city": "HARRELLSVILLE",
            "state": "NC",
            "postal_code": "279429766",
            "telephone_number": "252-356-2260",
            "fax_number": "252-356-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 CULLEN RD",
            "city": "HARRELLSVILLE",
            "state": "NC",
            "postal_code": "279429766",
            "telephone_number": "252-356-2260",
            "fax_number": "252-356-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS LANDING FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MABLE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-356-2260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-046-017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Medicine of Harrellsville
• Cheryl Askew Grace, MA CCC SLP
• Gaddy Lassiter, M.D.

• Adult Care Home Facility in Harrellsville, NC
• Providers in Harrellsville, 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 Sep 15, 2026; 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.