Individual provider Active NPI

Lawanda Ray, RN

  • Adult Care Home Facility
  • Burlington, NC
National Provider Identifier
1790126126
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL-001-002 Issued in NC
Practice address
2201 Burch Bridge Rd
Burlington, NC 27217-8792
Phone
(336) 534-1416
Fax
(336) 421-0435
NPI assigned
Jul 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-001-144 NC
Adult Care Home Facility 311ZA0620X HAL-001-002 NC Primary
Adult Care Home Facility 311ZA0620X FCL-001-140 NC
Adult Care Home Facility 311ZA0620X FCL-017-009 NC

Addresses

Primary practice location

2201 Burch Bridge Rd
Burlington, NC 27217-8792

Mailing address

PO Box 4094
Burlington, NC 27215-0901
Phone (336) 534-1416

Other practice location 1

3524 Dickey Mill Rd
Mebane, NC 27302-9006
Phone (336) 534-1416

Other practice location 2

2446 Cherry Grove Rd
Yanceyville, NC 27379-9191
Phone (336) 534-1416

Other practice location 3

301 Homewood Ave
Burlington, NC 27217-2839
Phone (336) 534-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HAL-001-149NCMDAdult Care Home Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Care Center Adult Care Home Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1790126126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4094",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272150901",
            "telephone_number": "336-534-1416",
            "fax_number": "336-421-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BURCH BRIDGE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178792",
            "telephone_number": "336-534-1416",
            "fax_number": "336-421-0435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3524 Dickey Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Mebane",
            "state": "NC",
            "postal_code": "273029006",
            "country_code": "US",
            "telephone_number": "336-534-1416",
            "fax_number": "336-421-0435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2446 Cherry Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Yanceyville",
            "state": "NC",
            "postal_code": "273799191",
            "country_code": "US",
            "telephone_number": "336-534-1416",
            "fax_number": "336-421-0435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Homewood Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272172839",
            "country_code": "US",
            "telephone_number": "336-534-1416",
            "fax_number": "336-421-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "LAWANDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-14",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-001-144",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-001-002",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-001-140",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-017-009",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 23, 2026; 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.