Blacknall Felton Group

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

008038 Issued in NC

Legal business name

BLACKNALL FELTON GROUP

Practice address

222 Connarista Rd
Kelford, NC 27847-9602

Phone

(252) 348-8840

Fax

(252) 348-8840

NPI assigned

Aug 13, 2013

Last updated

Oct 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia W Greene

Title

Administrator

Phone

(252) 348-8840

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1841623873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CONNARISTA RD",
            "city": "KELFORD",
            "state": "NC",
            "postal_code": "278479602",
            "telephone_number": "252-348-8840",
            "fax_number": "252-348-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CONNARISTA RD",
            "city": "KELFORD",
            "state": "NC",
            "postal_code": "278479602",
            "telephone_number": "252-348-8840",
            "fax_number": "252-348-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKNALL FELTON GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-348-8840"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "008038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008038",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Kelford, NC
• Providers in Kelford, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.