Lisa'S Family Care Home LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LISA'S FAMILY CARE HOME LLC.

Practice address

542 Forest Lake Rd
Forest City, NC 28043-5112

Phone

(828) 447-5523

Fax

(828) 286-1427

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Oleg William DinovetskiyNPI 1992277248

Title

Administrator

Phone

(828) 447-5523

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comfort Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg Dinovetskiy

  • Home Health Aide
  • Forest City, NC
  • NPI 1992277248
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1861550253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 SHADY WOODS LN",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392768",
            "telephone_number": "828-447-5523",
            "fax_number": "828-286-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 FOREST LAKE RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280435112",
            "telephone_number": "828-447-5523",
            "fax_number": "828-286-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA'S FAMILY CARE HOME LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "DINOVETSKIY",
        "authorized_official_first_name": "OLEG",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-447-5523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920394",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leaps & Bounds Therapetuic Solutions Inc.
• Leaps & Bounds Therapeutic Solutions Inc
• Sydney Lee, DPT
• Life Changes Counseling Services
• Paul Sanders Linker, MD
• Katharine Anne Lowery, LPC
• Benjamin Jay Lyles, MD
• M Queen Clinical Therapy PLLC
• Asheley Macci, P018508
• Magnolia Health, PLLC

• Assisted Living Facility in Forest City, NC
• Providers in Forest City, 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, 2019; 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.