NPIMap

Organization Active NPI

Cedar Grove Family Care #1

  • Assisted Living Facility
  • Cedar Grove, NC
National Provider Identifier
1831256346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL068002 Issued in NC
Legal business name
CEDAR GROVE FAMILY CARE #1
Practice address
403 Sawmill Rd
Cedar Grove, NC 27231-9295
Phone
(919) 732-8850
NPI assigned
Jan 3, 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
Mrs. Hannah M Collins
Title
Administrator
Phone
(919) 732-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL068002 NC Primary

Addresses

Primary practice location

403 Sawmill Rd
Cedar Grove, NC 27231-9295

Mailing address

PO Box 57
403 Sawmill Rd
Cedar Grove, NC 27231-0057
Phone (919) 732-8850

Other identifiers 1

IdentifierTypeStateIssuer
7805243MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cedar Grove Family Care 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831256346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "address_2": "403 SAWMILL RD",
            "city": "CEDAR GROVE",
            "state": "NC",
            "postal_code": "272310057",
            "telephone_number": "919-732-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SAWMILL RD",
            "city": "CEDAR GROVE",
            "state": "NC",
            "postal_code": "272319295",
            "telephone_number": "919-732-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR GROVE FAMILY CARE #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-732-8850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL068002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805243",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, 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.