Organization Active NPI

Gwen Family Care Home No2

  • Home Health Agency
  • Liberty, NC
National Provider Identifier
1619002250
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
FLC001058 Issued in NC
Legal business name
GWEN FAMILY CARE HOME NO2
Practice address
236 S Asheboro St
Liberty, NC 27298-7503
Phone
(336) 622-1842
Fax
(336) 622-9845
NPI assigned
Feb 23, 2007
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Gwen Hunter
Title
Adminastrator
Phone
(336) 622-1842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FLC001058 NC Primary

Addresses

Primary practice location

236 S Asheboro St
Liberty, NC 27298-7503

Mailing address

236 S Asheboro St
Liberty, NC 27298-7503
Phone (336) 622-1842

National Provider Directory

National Provider Directory
Tax ID family
Gwen Family Care Home No22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1619002250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S ASHEBORO ST",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272987503",
            "telephone_number": "336-622-1842",
            "fax_number": "336-622-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 S ASHEBORO ST",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272987503",
            "telephone_number": "336-622-1842",
            "fax_number": "336-622-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN FAMILY CARE HOME NO2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "ADMINASTRATOR",
        "authorized_official_telephone_number": "336-622-1842"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "FLC001058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.