Bruton Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-062-006 Issued in NC

Legal business name

BRUTON FAMILY CARE HOME

Practice address

109 Cedar Street
Mount Gilead, NC 27306-0187

Phone

(910) 439-4522

Fax

(910) 439-6926

NPI assigned

Jul 31, 2007

Last updated

Aug 5, 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

Mrs. Ella Mae Bruton

Title

Administrator

Phone

(910) 439-4522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1922298389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273060187",
            "telephone_number": "910-439-4522",
            "fax_number": "910-439-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CEDAR STREET",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273060187",
            "telephone_number": "910-439-4522",
            "fax_number": "910-439-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUTON FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-439-4522",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-062-006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alternative Resources of Carolinas, Inc.
• Julia Wallace Bambauer, RPH
• Regina East Blue, PTA
• Carolinas Physicians Network Inc (Atrium Health Primary Care Mt. Gilead Family Medicine)
• Cohesion Behavioral and Wellness Clinic
• Comprehensive Therapeutic Programs Inc
• Daisy and Edward Home Care Agency
• Evernorth Direct Health LLC

• Adult Care Home Facility in Mount Gilead, NC
• Providers in Mount Gilead, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.