NPIMap

Organization Active NPI

Family Homecare Services Inc

  • Custodial Care Facility
  • Peachland, NC
National Provider Identifier
1639329709
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
061143 Issued in NC
Legal business name
FAMILY HOMECARE SERVICES INC
Practice address
215 School St
Peachland, NC 28133-8316
Phone
(704) 272-7068
Fax
(704) 272-7098
NPI assigned
Sep 25, 2008
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Tega L Burns
Title
Director
Phone
(704) 272-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 061143 NC Primary

Addresses

Primary practice location

215 School St
Peachland, NC 28133-8316

Mailing address

219 N Main St
Troy, NC 27371-3015
Phone (704) 272-7068

Other identifiers 1

IdentifierTypeStateIssuer
3418252MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Family Homecare Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1639329709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N MAIN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713015",
            "telephone_number": "704-272-7068",
            "fax_number": "704-272-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SCHOOL ST",
            "city": "PEACHLAND",
            "state": "NC",
            "postal_code": "281338316",
            "telephone_number": "704-272-7068",
            "fax_number": "704-272-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "TEGA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-272-7098"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "061143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418252",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.