Sampson Family Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

780-028 Issued in NC

Legal business name

SAMPSON FAMILY CARE HOME

Practice address

101 Vance St.
Pembroke, NC 28372

Phone

(910) 521-8843

Fax

(910) 521-8336

NPI assigned

Aug 31, 2007

Last updated

Aug 31, 2007By 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

Ms. Lesia Sampson Hammonds

Title

Administrator

Phone

(910) 521-8843

Specialties & licenses 1

Addresses

Tax ID family

L S Family Care Home2 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.

• L & S Family Care Home

  • Assisted Living Facility
  • Pembroke, NC
  • NPI 1629262845
  NPD tax ID

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1861686982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2895",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283722895",
            "telephone_number": "910-521-8843",
            "fax_number": "910-521-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VANCE ST.",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "28372",
            "telephone_number": "910-521-8843",
            "fax_number": "910-521-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "HAMMONDS",
        "authorized_official_first_name": "LESIA",
        "authorized_official_middle_name": "SAMPSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-521-8843",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "780-028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaniasia Enjoli Dawn Royal
• RSB Faircloth Inc (HealthKeeperz Pharmacy)
• Shannon Rushing
• Antwinette Russell
• Sagamore Services LLC
• Jessica Collins Sampson, D.D.S.
• Sheree L Sampson, LCMHC
• Sampson's Family Support, LLC (chaparral youth services)
• Esmeralda Sanchez
• Alex Jonathan Sanderson, PAC

• Assisted Living Facility in Pembroke, NC
• Providers in Pembroke, 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 Aug 31, 2007; 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.