Chilton Family Care Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-079-085 Issued in NC

Legal business name

CHILTON FAMILY CARE HOME, LLC

Practice address

135 Turner Farm LN
Reidsville, NC 27320-7288

Phone

(336) 634-1631

Fax

(336) 342-4458

NPI assigned

Aug 11, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie G Chilton, RN

Title

Sole Member

Phone

(336) 552-3030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1790064558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TURNER FARM LN",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207288",
            "telephone_number": "336-634-1631",
            "fax_number": "336-342-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 TURNER FARM LN",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207288",
            "telephone_number": "336-634-1631",
            "fax_number": "336-342-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILTON FAMILY CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "CHILTON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "336-552-3030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-079-085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Reidsville, NC
• Providers in Reidsville, NC by specialty
• 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 11, 2011; 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.