Organization Active NPI

Gowan Family Care, Inc.

  • Adult Care Home Facility
  • Nebo, NC
National Provider Identifier
1710015656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL059022 Issued in NC
Legal business name
GOWAN FAMILY CARE, INC.
Practice address
82 Ned McGimsey Rd
Nebo, NC 28761-6758
Phone
(828) 652-6690
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Clay Morris Gowan
Title
President
Phone
(828) 652-6690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL059022 NC Primary

Addresses

Primary practice location

82 Ned McGimsey Rd
Nebo, NC 28761-6758

Mailing address

82 Ned McGimsey Rd
Nebo, NC 28761-6758
Phone (828) 652-6690

Other identifiers 1

IdentifierTypeStateIssuer
7804647MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Gowan Family Care Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710015656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NED MCGIMSEY RD",
            "city": "NEBO",
            "state": "NC",
            "postal_code": "287616758",
            "telephone_number": "828-652-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NED MCGIMSEY RD",
            "city": "NEBO",
            "state": "NC",
            "postal_code": "287616758",
            "telephone_number": "828-652-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOWAN FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOWAN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-652-6690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL059022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804647",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nebo, 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.