Emmanuel Outreach Ministries, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-026-060 Issued in NC

Legal business name

EMMANUEL OUTREACH MINISTRIES, INC

Doing business as

Emmanuel Outreach Capital Inn-Care Facility

Practice address

4761 Draughon Rd
Fayetteville, NC 28312-8480

Phone

(910) 484-1701

Fax

(910) 484-1701

NPI assigned

Jul 3, 2012

Last updated

Jul 3, 2012By 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. Hilda B Moore

Title

Administrator

Phone

(910) 574-9983

Specialties & licenses 5

Addresses

Other names 1

• Emmanuel Outreach Capital Inn-Care Facility Doing business as

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1619231792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 DRAUGHON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128480",
            "telephone_number": "910-484-1701",
            "fax_number": "910-484-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 DRAUGHON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128480",
            "telephone_number": "910-484-1701",
            "fax_number": "910-484-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL OUTREACH MINISTRIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-574-9983",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-026-060",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-026-060",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-026-060",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NC",
            "license": "FCL-026--060",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NC",
            "license": "FCL-026-060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel Outreach Capital Inn-Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.