Lee's Family Care Home

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

License

FCL035-002 Issued in NC

Legal business name

LEE'S FAMILY CARE HOME

Practice address

945 Vaiden Road
Louisburg, NC 27549-8096

Phone

(919) 853-3359

Fax

(919) 853-3359

NPI assigned

Sep 7, 2007

Last updated

Sep 7, 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

Mr. Willie James Lee

Title

Administrator

Phone

(919) 853-3359

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1801081310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 VAIDEN RD",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275498096",
            "telephone_number": "919-853-3359",
            "fax_number": "919-853-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 VAIDEN ROAD",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275498096",
            "telephone_number": "919-853-3359",
            "fax_number": "919-853-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE'S FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-853-3359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NC",
            "license": "FCL035-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900-47-3245-0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900-85-1645-0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945-00-6722-S",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947-58-7594-S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann Lawhorne, PT
• Gracie Lawson, LCSW-A
• Lee C. Currin DDS PA
• Dong Hoon Lee, D.M.D
• Michelle Eun Lee, PHARM.D.
• Legacy Human Services, Inc.
• Legacy Human Services, Inc.
• Legacy Human Services, Inc.
• Amber Renea Leonard
• Ashton Nicole Leonard

• Lodging Provider in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Lodging Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.