Mitchell Family Care Home

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

FCL017027 Issued in NC

Legal business name

MITCHELL FAMILY CARE HOME

Practice address

7727 Blanch Rd
Blanch, NC 27212-9687

Phone

(336) 234-7400

NPI assigned

Aug 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Clarissa M. Gunn

Title

Administor

Phone

(336) 234-7400

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1902099690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 BLANCH RD",
            "city": "BLANCH",
            "state": "NC",
            "postal_code": "272129687",
            "telephone_number": "336-234-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 BLANCH RD",
            "city": "BLANCH",
            "state": "NC",
            "postal_code": "272129687",
            "telephone_number": "336-234-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTOR",
        "authorized_official_telephone_number": "336-234-7400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NC",
            "license": "FCL017027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "946766754L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "946766756S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Nicole Arnette
• Tifany Chambers, BSW, QP, CPSS
• Empowering U, LLC
• Lois Ann Knauff, DDS
• Sisters Living Services, LLC
• Estella Joann Spann
• Taylor Care Group, LLC
• Taylor Family Care 2 LLC
• Barbara Lee Taylor, DPM

• Adult Day Care Clinic/Center in Blanch, NC
• Providers in Blanch, NC by specialty
• Adult Day Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.