Organization Active NPI

Moore Family Care Home Inc. # 2

  • Preferred Provider Organization
  • Rose Hill, NC
National Provider Identifier
1841315892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
FCL-031-007 Issued in NC
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, 2020By the provider in NPPES
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. Ernestine Boney Moore
Title
Administrator
Phone
(910) 289-7183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
$$$$$$$$$OtherNCSOCIAL SECURITY NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Moore Family Care Home Inc 1 22 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.

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.

Verify at the official NPI Registry.