Perkins Family Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-012-045 Issued in NC

Legal business name

PERKINS FAMILY CARE HOME LLC

Practice address

2015 Sunnyside Dr
Morganton, NC 28655-7420

Phone

(828) 764-4864

Fax

(828) 764-4866

NPI assigned

Mar 20, 2016

Organization subpart

No

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

Authorized official

Name

Harriette Lee Puett

Title

Member Manger

Phone

(828) 764-4864

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458432000000",
    "number": "1831550755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SUNNYSIDE DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557420",
            "telephone_number": "828-764-4864",
            "fax_number": "828-764-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 SUNNYSIDE DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557420",
            "telephone_number": "828-764-4864",
            "fax_number": "828-764-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS FAMILY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-20",
        "last_updated": "2016-03-20",
        "status": "A",
        "authorized_official_last_name": "PUETT",
        "authorized_official_first_name": "HARRIETTE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER MANGER",
        "authorized_official_telephone_number": "828-764-4864"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-012-045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FCL-012-045",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Pelaez
• Amy L Penley, L.M.F.T.
• Jaime Absher Penley, OTR
• Sandra Perham, RN
• Perkins Care Home
• Daniel Scott Perkins, PT
• Sheila W Perkins, LPC
• Perry H Beeson Jr DDS PA
• Cindy J Peters, PH.D.
• Debra Kay Peters, PH.D.

• Assisted Living Facility in Morganton, NC
• Providers in Morganton, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2016; 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.