Savannah Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

063009 Issued in NC

Legal business name

SAVANNAH FAMILY CARE HOME

Practice address

128 N Carlisle St
Southern Pines, NC 28387-3938

Phone

(910) 695-3665

Fax

(910) 695-3665

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Sharronda Melvin Savannah

Title

Administrator Owner

Phone

(910) 695-3665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629137484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N CARLISLE ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283873938",
            "telephone_number": "910-695-3665",
            "fax_number": "910-695-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N CARLISLE ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283873938",
            "telephone_number": "910-695-3665",
            "fax_number": "910-695-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAVANNAH",
        "authorized_official_first_name": "SHARRONDA",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "910-695-3665"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "063009",
            "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 22, 2020; 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.