Active NPI
McLeod Family Care Center of Fayetteville
- Adult Care Home Facility
- Fayetteville, NC
National Provider Identifier
1679693600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL-026-008
- Legal business name
- MCLEOD FAMILY CARE CENTER OF FAYETTEVILLE
- Practice address
- 248 Livermore Dr
Fayetteville, NC 28314-8616 - Phone
- (910) 867-0215
- NPI assigned
- Mar 31, 2007
- 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
- Joyce McLeod
- Title
- Office Manager
- Phone
- (910) 867-0215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL-026-008 | NC | Primary |
Addresses
Primary practice location
248 Livermore Dr
Fayetteville, NC 28314-8616
Mailing address
PO Box 41135
Fayetteville, NC 28309-1135
Phone (910) 867-0215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801663 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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": "1598054400000",
"number": "1679693600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41135",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283091135",
"telephone_number": "910-867-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 LIVERMORE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283148616",
"telephone_number": "910-867-0215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLEOD FAMILY CARE CENTER OF FAYETTEVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCLEOD",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "910-867-0215"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "FCL-026-008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7801663",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- 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.