Organization Active NPI

Old Mill Family Care

  • Assisted Living Facility
  • Rocky Mount, NC
National Provider Identifier
1679757678
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL-064-017 Issued in NC
Legal business name
OLD MILL FAMILY CARE
Practice address
1808 Old Mill Rd
Rocky Mount, NC 27803-2137
Phone
(252) 937-7958
Fax
(252) 937-4341
NPI assigned
Dec 27, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Mr. Herman Loius Warrick Jr.
Title
Owner
Phone
(252) 937-7958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL-064-017 NC Primary

Addresses

Primary practice location

1808 Old Mill Rd
Rocky Mount, NC 27803-2137

Mailing address

1808 Old Mill Rd
Rocky Mount, NC 27803-4430
Phone (252) 937-7958

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1679757678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 OLD MILL RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278034430",
            "telephone_number": "252-937-7958",
            "fax_number": "252-937-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 OLD MILL RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032137",
            "telephone_number": "252-937-7958",
            "fax_number": "252-937-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD MILL FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "WARRICK",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "LOIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-937-7958",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-064-017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.