Active NPI
Moore Family Care Home Inc. # 2
- Preferred Provider Organization
- Rose Hill, NC
National Provider Identifier
1841315892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- FCL-031-007
- Legal business name
- MOORE FAMILY CARE HOME INC. # 2
- Practice address
- 171 E Charity Rd
Rose Hill, NC 28458-8469 - Phone
- (910) 289-7183
- Fax
- (910) 289-3285
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 22, 2020
- 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
- Mrs. Ernestine Boney Moore
- Title
- Administrator
- Phone
- (910) 289-7183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | FCL-031-007 | NC | Primary |
Addresses
Primary practice location
171 E Charity Rd
Rose Hill, NC 28458-8469
Mailing address
171 E Charity Rd
Rose Hill, NC 28458-8469
Phone (910) 289-7183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | NC | SOCIAL SECURITY NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Moore Family Care Home Inc 1 2
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Preferred Provider Organization
- Rose Hill, NC
- NPI 1528182813
Locations
171 E Charity Rd
Rose Hill, NC 28458
Phone (910) 289-7183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841315892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 E CHARITY RD",
"city": "ROSE HILL",
"state": "NC",
"postal_code": "284588469",
"telephone_number": "910-289-7183",
"fax_number": "910-289-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 E CHARITY RD",
"city": "ROSE HILL",
"state": "NC",
"postal_code": "284588469",
"telephone_number": "910-289-7183",
"fax_number": "910-289-3285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORE FAMILY CARE HOME INC. # 2",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "ERNESTINE",
"authorized_official_middle_name": "BONEY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-289-7183",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NC",
"license": "FCL-031-007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SECURITY NUMBER",
"identifier": "$$$$$$$$$",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rose Hill, 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.