Organization Active NPI

Rice Family Care, LLC

  • Adult Care Home Facility
  • Eden, NC
National Provider Identifier
1639886369
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RICE FAMILY CARE, LLC
Practice address
515 Piney Fork Church Rd
Eden, NC 27288-8185
Phone
(336) 612-2526
NPI assigned
Nov 2, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Matwaya Kellam, BSW
Title
Administrator
Phone
(336) 280-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

515 Piney Fork Church Rd
Eden, NC 27288-8185

Mailing address

202 Carter Ridge Dr
Reidsville, NC 27320-9630
Phone (336) 280-9808

National Provider Directory

National Provider Directory
Tax ID family
Rice Family Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1639886369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CARTER RIDGE DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209630",
            "telephone_number": "336-280-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PINEY FORK CHURCH RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272888185",
            "telephone_number": "336-612-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "KELLAM",
        "authorized_official_first_name": "MATWAYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-280-9808",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.