NPIMap

Organization Active NPI

Lori Crouch

Doing business as Professional Family Care

  • Assisted Living Facility
  • Conover, NC
National Provider Identifier
1649390592
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL 018-026 Issued in NC
Legal business name
LORI CROUCH
Doing business as
Professional Family Care
Practice address
906 3Rd St SE
Conover, NC 28613-1813
Phone
(828) 464-3430
NPI assigned
Mar 31, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Lori CrouchNPI 1306989926
Title
Owner
Phone
(828) 464-3430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL 018-026 NC Primary

Addresses

Primary practice location

906 3Rd St SE
Conover, NC 28613-1813

Mailing address

906 3Rd St SE
Conover, NC 28613-1813

Other identifiers 1

IdentifierTypeStateIssuer
7805727MedicaidNC

Other names 1

  • Professional Family Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1649390592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 3RD ST SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 3RD ST SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131813",
            "telephone_number": "828-464-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI CROUCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-464-3430"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL 018-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805727",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.