Lakewheeler Road Family Care Home

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

FCL-092-017 Issued in NC

Legal business name

LAKEWHEELER ROAD FAMILY CARE HOME

Practice address

1315 Lake Wheeler Rd
Raleigh, NC 27603-2231

Phone

(919) 833-3763

Fax

(919) 833-3763

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary B Moslak

Title

Administrator

Phone

(919) 833-3763

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lakewheeler Road Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Helms Residential Management LLC

  • Assisted Living Facility
  • Raleigh, NC
  • NPI 1730315599
  NPD tax ID

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689891814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 LAKE WHEELER RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032231",
            "telephone_number": "919-833-3763",
            "fax_number": "919-833-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 LAKE WHEELER RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032231",
            "telephone_number": "919-833-3763",
            "fax_number": "919-833-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWHEELER ROAD FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSLAK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-833-3763",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NC",
            "license": "FCL-092-017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802251",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Laird
• Adam John Lake, M.D.
• Allison Lake
• Jason Bennett Lake, LCSW
• Lynn Elizabeth Lake, OT
• James Randall Lakey, M.D.
• Kyla Lakey
• Asim Ahmed Lal, MD
• Steven Lawrence Lalik
• Robert B Lalley, PHARMD

• Physical Disabilities Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Disabilities Residential Treatment Facility in North Carolina

• 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.