Organization Active NPI

CC & a Family Services Inc

  • Adult Care Home Facility
  • Greensboro, NC
National Provider Identifier
1871624957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
MHL-041-786 Issued in NC
Legal business name
CC & A FAMILY SERVICES INC
Practice address
1402 Hyalyn CT
Greensboro, NC 27406-9557
Phone
(336) 373-1614
NPI assigned
Mar 8, 2007
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. Dianne Chang
Title
Owner Director
Phone
(336) 373-1614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X MHL-041-786 NC Primary

Addresses

Primary practice location

1402 Hyalyn CT
Greensboro, NC 27406-9557

Mailing address

1402 Hyalyn CT
Greensboro, NC 27406-9557
Phone (336) 373-1614

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871624957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 HYALYN CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069557",
            "telephone_number": "336-373-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 HYALYN CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069557",
            "telephone_number": "336-373-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC & A FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER  DIRECTOR",
        "authorized_official_telephone_number": "336-373-1614",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL-041-786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, 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.