Organization Active NPI

McLeod Family Care Center of Fayetteville

  • Adult Care Home Facility
  • Fayetteville, NC
National Provider Identifier
1679693600
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-026-008 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7801663MedicaidNC

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.