Organization Active NPI

House of Love Family Care Home

  • Assisted Living Facility
  • Elizabeth City, NC
National Provider Identifier
1811296205
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HOUSE OF LOVE FAMILY CARE HOME
Practice address
994 Chicken Corner Rd
Elizabeth City, NC 27909-8545
Phone
(252) 338-6648
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mrs. Amy Mozela Outlaw
Title
Administrator
Phone
(252) 330-9935

Specialties & licenses 2

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

Addresses

Primary practice location

994 Chicken Corner Rd
Elizabeth City, NC 27909-8545

Mailing address

994 Chicken Corner Rd
Elizabeth City, NC 27976
Phone (252) 338-6648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1811296205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 CHICKEN CORNER RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "27976",
            "telephone_number": "252-338-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 CHICKEN CORNER RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098545",
            "telephone_number": "252-338-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF LOVE FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "OUTLAW",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MOZELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-330-9935",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.