Active NPI
Rice Family Care, LLC
- Adult Care Home Facility
- Eden, NC
National Provider Identifier
1639886369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Reidsville, NC
- NPI 1013707793
-
- Adult Care Home Facility
- Reidsville, NC
- NPI 1962387506
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.