NPIMap

Organization Active NPI

Classic Care Holdings LLC

Doing business as Classic Care Homes 105

  • Assisted Living Facility
  • Smithfield, NC
National Provider Identifier
1578047098
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CLASSIC CARE HOLDINGS LLC
Doing business as
Classic Care Homes 105
Practice address
105 Annie Parker Cir
Smithfield, NC 27577-3968
Phone
(919) 934-8976
NPI assigned
Sep 20, 2018
Organization subpart
Yes
Parent organization
CLASSIC CARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vishrut Patel
Title
Coo
Phone
(919) 934-8976

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Mental Illness Intermediate Care Facility 310500000X
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

105 Annie Parker Cir
Smithfield, NC 27577-3968

Mailing address

101 Annie Parker Cir
Smithfield, NC 27577-3976

Other names 1

  • CLASSIC CARE HOMES 105 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Classic Care Holdings LLC3 organizations share this tax ID, including this one
Part of
Classic Care Holdings LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 Annie Parker Cir
Smithfield, NC 27577
Phone (919) 934-8976

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1578047098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ANNIE PARKER CIR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ANNIE PARKER CIR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773968",
            "telephone_number": "919-934-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CARE HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLASSIC CARE HOLDINGS LLC",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHRUT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "919-934-8976"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLASSIC CARE HOMES 105",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLASSIC CARE HOMES 105",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.