Active NPI
Cheetham Family Care Home
- Assisted Living Facility (Mental Illness)
- Raleigh, NC
National Provider Identifier
1811011802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- MHL-092-538-27G.5600
- Legal business name
- CHEETHAM FAMILY CARE HOME
- Practice address
- 2726 Newsome St
Raleigh, NC 27603-2956 - Phone
- (919) 325-0671
- Fax
- (919) 325-0671
- NPI assigned
- Mar 17, 2007
- Last updated
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ransford Nylander Thompson
- Title
- President
- Phone
- (919) 795-8338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | MHL-092-538-27G.5600 | NC | Primary |
Addresses
Primary practice location
2726 Newsome St
Raleigh, NC 27603-2956
Mailing address
5309 Falls of Neuse Rd
Raleigh, NC 27609-4700
Phone (919) 676-8062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804824 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1811011802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5309 FALLS OF NEUSE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094700",
"telephone_number": "919-676-8062",
"fax_number": "919-676-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 NEWSOME ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276032956",
"telephone_number": "919-325-0671",
"fax_number": "919-325-0671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEETHAM FAMILY CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-17",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "RANSFORD",
"authorized_official_middle_name": "NYLANDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-795-8338"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NC",
"license": "MHL-092-538-27G.5600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804824",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.