Unlimited Possibilities Family Home Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL000100 Issued in NC

Legal business name

UNLIMITED POSSIBILITIES FAMILY HOME CARE

Practice address

5003 Tewkesbury Rd
Charlotte, NC 28269-4557

Phone

(704) 453-6753

Fax

(704) 749-9522

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Mr. James Henry Scruggs Jr.

Title

Owner/Administrator

Phone

(704) 453-6753

Specialties & licenses 1

Addresses

Other names 1

• Unlimited Possibilities Family Care Home Doing business as

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1619202710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 ADDISON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114135",
            "telephone_number": "704-453-6753",
            "fax_number": "704-749-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 TEWKESBURY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694557",
            "telephone_number": "704-453-6753",
            "fax_number": "704-749-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED POSSIBILITIES FAMILY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "704-453-6753",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL000100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unlimited Possibilities Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Charlotte, NC
• Providers in Charlotte, 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 Oct 7, 2009; 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.