Organization Active NPI

Richardsons Family Care Home

  • Adult Care Home Facility
  • Kannapolis, NC
National Provider Identifier
1861537755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL080005 Issued in NC
Legal business name
RICHARDSONS FAMILY CARE HOME
Practice address
2603 Planer Ave.
Kannapolis, NC 28083-2802
Phone
(704) 933-7081
NPI assigned
Feb 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. Annie Richardson
Title
Owner
Phone
(704) 933-7081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL080005 NC Primary

Addresses

Primary practice location

2603 Planer Ave.
Kannapolis, NC 28083-2802

Mailing address

2603 Planer Ave.
Kannapolis, NC 28083-2802
Phone (704) 933-7081

Other identifiers 1

IdentifierTypeStateIssuer
7801752MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861537755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 PLANER AVE.",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280832802",
            "telephone_number": "704-933-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 PLANER AVE.",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280832802",
            "telephone_number": "704-933-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSONS FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-933-7081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL080005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801752",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, 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.