Kernodles Family Care No-1

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KERNODLES FAMILY CARE NO-1

Practice address

311 Cherry St
Eden, NC 27288-5637

Phone

(336) 627-3243

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Coky A Kernodle, ADMINISTRATORNPI 1316596364

Title

Owner/Administrator

Phone

(336) 327-9438

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Coky Ann Kernodle, ADMINISTRATOR

  • Nursing Home Administrator
  • Stoneville, NC
  • NPI 1316596364
  NPD Authorized official

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1932705225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 HOMESTEAD DR",
            "city": "STONEVILLE",
            "state": "NC",
            "postal_code": "270487551",
            "telephone_number": "336-327-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CHERRY ST",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885637",
            "telephone_number": "336-627-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNODLES FAMILY CARE NO-1",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "KERNODLE",
        "authorized_official_first_name": "COKY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "336-327-9438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Rufus Joyce, DPM
• Kamran Hameed, D.M.D., P.a.
• Nathan R Kelley, PT, DPT
• Monica Mamina Kelly-Coleman, FNP
• Jay Kelly, OTL
• Roy Robert Keys, MD
• Laura Khorozov, M.A.,CCC-SLP
• Anne B King, M.D.
• Robert Alan Klein, DPM
• Suresh A Koneswaran, M.D.

• Assisted Living Facility in Eden, NC
• Providers in Eden, 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 Dec 10, 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.