NPIMap

Organization Active NPI

Smith Street Village Family Care Home, LLC

  • Adult Care Home Facility
  • Leicester, NC
National Provider Identifier
1902289671
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SMITH STREET VILLAGE FAMILY CARE HOME, LLC
Practice address
232 Country Time Circle
Leicester, NC 28748-6213
Phone
(828) 676-5600
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Mr. Nicholas B Street, RN
Title
President/Administrator
Phone
(828) 676-5600

Specialties & licenses 1

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

Addresses

Primary practice location

232 Country Time Circle
Leicester, NC 28748-6213

Mailing address

PO Box 889
Mountain Home, NC 28758-0889
Phone (828) 676-5600

National Provider Directory

National Provider Directory
Tax ID family
Smith Street Village Family Care Home LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1902289671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889",
            "city": "MOUNTAIN HOME",
            "state": "NC",
            "postal_code": "287580889",
            "telephone_number": "828-676-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 COUNTRY TIME CIRCLE",
            "city": "LEICESTER",
            "state": "NC",
            "postal_code": "287486213",
            "telephone_number": "828-676-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH STREET VILLAGE FAMILY CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "828-676-5600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leicester, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.