NPIMap

Organization Active NPI

Mebane'S Family Care #3

  • Custodial Care Facility
  • Burlington, NC
National Provider Identifier
1750401246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
FCL-001-039 Issued in NC
Legal business name
MEBANE'S FAMILY CARE #3
Practice address
617 Durham St
Burlington, NC 27217-2305
Phone
(336) 227-3344
Fax
(336) 227-3344
NPI assigned
Mar 30, 2007
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
Mrs. Barbara J Mebane
Title
Administrator
Phone
(336) 227-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X FCL-001-039 NC Primary

Addresses

Primary practice location

617 Durham St
Burlington, NC 27217-2305

Mailing address

617 Durham St
Burlington, NC 27217-2305
Phone (336) 227-3344

Other identifiers 1

IdentifierTypeStateIssuer
7801694MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Mebane'S Family Care 22 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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750401246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 DURHAM ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172305",
            "telephone_number": "336-227-3344",
            "fax_number": "336-227-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 DURHAM ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172305",
            "telephone_number": "336-227-3344",
            "fax_number": "336-227-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEBANE'S FAMILY CARE #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEBANE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-227-3344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801694",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, 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.