Organization Active NPI

Family Care Home Inc

  • Assisted Living Facility
  • Arden, NC
National Provider Identifier
1801925474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL 011 202 Issued in NC
Legal business name
FAMILY CARE HOME INC
Practice address
30 Bradley Branch Rd
Arden, NC 28704-9205
Phone
(828) 259-3898
Fax
(828) 259-3927
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wilbur Wayne Wells
Title
Owner
Phone
(828) 259-3898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL 011 202 NC Primary

Addresses

Primary practice location

30 Bradley Branch Rd
Arden, NC 28704-9205

Mailing address

PO Box 8129
Asheville, NC 28814-8129
Phone (828) 259-3898

Other identifiers 1

IdentifierTypeStateIssuer
7805343MedicaidNC

Other names 1

  • ARDEN FAMILY CARE HOME 1 Other name

National Provider Directory

National Provider Directory
Tax ID family
Family Care Home Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801925474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8129",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288148129",
            "telephone_number": "828-259-3898",
            "fax_number": "828-259-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BRADLEY BRANCH RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049205",
            "telephone_number": "828-259-3898",
            "fax_number": "828-259-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-259-3898"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL 011 202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805343",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARDEN FAMILY CARE HOME 1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.