Glenn Home Unlimited Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL080030 Issued in NC

Legal business name

GLENN HOME UNLIMITED INC.

Practice address

103 Hampshire CT
Salisbury, NC 28144-9028

Phone

(980) 234-2910

Fax

(704) 870-8865

NPI assigned

Aug 27, 2016

Last updated

Aug 27, 2016By 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

Al Davis

Title

Owner

Phone

(980) 234-2910

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1568918969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HAMPSHIRE CT",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281449028",
            "telephone_number": "980-234-2910",
            "fax_number": "704-870-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HAMPSHIRE CT",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281449028",
            "telephone_number": "980-234-2910",
            "fax_number": "704-870-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN HOME UNLIMITED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-234-2910"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL080028",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL080029",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL080030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.