Blackwell-Rankin Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL079078 Issued in NC

Legal business name

BLACKWELL-RANKIN INC

Doing business as

Home Away From Home Site 2

Practice address

348 Zeb Rd
Gibsonville, NC 27249-9507

Phone

(336) 215-8866

Fax

(336) 349-7985

NPI assigned

Jul 31, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Shuvon Levette Blackwell-Rankin, RN

Title

Owner, Administrator

Phone

(336) 215-8866

Specialties & licenses 1

Addresses

Other names 1

• Home Away From Home Site 2 Doing business as

Tax ID family

Blackwell Rankin Inc2 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.

• Home Away From Home

  • Assisted Living Facility
  • Gibsonville, NC
  • NPI 1013048107
  NPD tax ID

Locations

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

{
    "created_epoch": "1280534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280534400000",
    "number": "1932413085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273230155",
            "telephone_number": "336-215-8866",
            "fax_number": "336-349-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 ZEB RD",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272499507",
            "telephone_number": "336-215-8866",
            "fax_number": "336-349-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL-RANKIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-31",
        "last_updated": "2010-07-31",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL-RANKIN",
        "authorized_official_first_name": "SHUVON",
        "authorized_official_middle_name": "LEVETTE",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "336-215-8866",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL079078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Away From Home Site 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Gibsonville, NC
• Providers in Gibsonville, 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 Jul 31, 2010; 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.