Organization Active NPI

Dogwood Family Care Home

  • Adult Care Home Facility
  • Burlington, NC
National Provider Identifier
1780847780
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DOGWOOD FAMILY CARE HOME
Practice address
840 Ross St
Burlington, NC 27217-1651
Phone
(336) 436-0046
Fax
(336) 436-0069
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Ms. Cherlyn Lashunda Cash
Title
Supervisor in Charge
Phone
(336) 436-0046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

840 Ross St
Burlington, NC 27217-1651

Mailing address

840 Ross St
Burlington, NC 27217-1651
Phone (336) 436-0046

Other identifiers 1

IdentifierTypeStateIssuer
052168MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1780847780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 ROSS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171651",
            "telephone_number": "336-436-0046",
            "fax_number": "336-436-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 ROSS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171651",
            "telephone_number": "336-436-0046",
            "fax_number": "336-436-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "CHERLYN",
        "authorized_official_middle_name": "LASHUNDA",
        "authorized_official_title_or_position": "SUPERVISOR IN CHARGE",
        "authorized_official_telephone_number": "336-436-0046",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052168",
            "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 Jul 9, 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.