Corfu Group Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

MHL092552 Issued in NC

Legal business name

CORFU GROUP HOME

Practice address

7001 Corfu PL
Wendell, NC 27591-6720

Phone

(919) 366-9181

Fax

(919) 366-1090

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Kirby

Title

Owner

Phone

(919) 669-2721

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Corfu Group 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.

• Corfu Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wendell, NC
  • NPI 1932231354
  NPD tax ID

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1730211392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORFU PL",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916720",
            "telephone_number": "919-366-9181",
            "fax_number": "919-366-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CORFU PL",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916720",
            "telephone_number": "919-366-9181",
            "fax_number": "919-366-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORFU GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-669-2721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL092552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804885",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith M Claude
• Robert Eric Clayton, M.D.
• Dwight Edwin Cochran II, D.V.M.
• Rachel Kate Cockrell, LCSW-A
• Community Urgent Care, P.a.
• Corfu Group Home
• Crandell'S Enterprises Inc
• Betty Maria Culver
• Paula Marie Davis, FNP-BC
• Doz and Co Care LLC.

• All providers in Wendell, 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 8, 2008; 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.