Your Grace & Mercy FCH

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

001-133 Issued in NC

Legal business name

YOUR GRACE & MERCY FCH

Practice address

919 Elm St
Burlington, NC 27217-1367

Phone

(336) 222-0312

Fax

(336) 222-0312

NPI assigned

Oct 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Febbie Gant Wilson

Title

Administrator

Phone

(336) 222-0312

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1720313695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 ELM ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171367",
            "telephone_number": "336-222-0312",
            "fax_number": "336-222-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 ELM ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171367",
            "telephone_number": "336-222-0312",
            "fax_number": "336-222-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR GRACE & MERCY FCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "FEBBIE",
        "authorized_official_middle_name": "GANT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-222-0312",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "001-133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.