Classic Country Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL - 054-001 Issued in NC

Legal business name

CLASSIC COUNTRY CARE INC

Practice address

288 Hwy 11 S
Kinston, NC 28504

Phone

(252) 527-8944

Fax

(252) 527-2496

NPI assigned

Sep 18, 2007

Last updated

Sep 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joyce Murphy Mozingo

Title

President

Phone

(252) 527-8944

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1760678478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 HWY 11 S",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28504",
            "telephone_number": "252-527-8944",
            "fax_number": "252-527-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 HWY 11 S",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28504",
            "telephone_number": "252-527-8944",
            "fax_number": "252-527-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC COUNTRY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "MOZINGO",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MURPHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-527-8944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL - 054-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802704",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varun Kumar Chukka, M.D
• Circle of Care Concierge Nursing PLLC
• Circle of Love Home Health Agency LLC
• Charles Henry Classen Jr., M.D.
• Classic Care of Kinston
• CNC / Access (ResCare HomeCare)
• CNC / Access Inc.
• CNC / Access Inc.
• CNC Access, Inc.
• CNC/Access, Inc.

• Assisted Living Facility in Kinston, NC
• Providers in Kinston, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.