Core Family Care Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-043-001 Issued in NC

Legal business name

CORE FAMILY CARE INC.

Practice address

248 Jonesboro Rd
Dunn, NC 28334-6239

Phone

(910) 892-1711

Fax

(910) 892-5343

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Wallace Ray Core, VP

Title

Owner Administrator

Phone

(910) 892-1711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720129372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 JONESBORO RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283346239",
            "telephone_number": "910-892-1711",
            "fax_number": "910-892-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 JONESBORO RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283346239",
            "telephone_number": "910-892-1711",
            "fax_number": "910-892-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE FAMILY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORE",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "910-892-1711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "VP"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-043-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801340",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commwellhealth
• Andrea Compton, M.A., LCMHCA
• Caroline Cook
• Adrianne Beth Cool
• Vidette V Cooper, MD
• Sallie Elliott Corse, PA-C
• Gwendolyn Christanne Coxum
• Ryan Craddock, CADC, LCAS-A
• Jacqueline Ann Crete, MSED., CCC-SLP
• Melanie G Crumpler, MSW, LCSW

• All providers in Dunn, NC
• Adult Care Home 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.