C&M Adult Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-001-089 Issued in NC

Legal business name

C&M ADULT CARE HOME

Practice address

422 N Main St
Burlington, NC 27217-3908

Phone

(336) 227-5216

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Coretta R. Wilson Alexander

Title

Supervisor in Charge

Phone

(336) 227-5216

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1972630614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N MAIN ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173908",
            "telephone_number": "336-227-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N MAIN ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173908",
            "telephone_number": "336-227-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&M ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "CORETTA",
        "authorized_official_middle_name": "R. WILSON",
        "authorized_official_title_or_position": "SUPERVISOR IN CHARGE",
        "authorized_official_telephone_number": "336-227-5216"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-001-089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Elizabeth Byrd, LCMHA
• Patrice Danielle Byrd
• Byrnett Surgical Associates PLLC
• Jeffrey William Byrnett, M.D.
• C Breeze Family Care Center
• Glenn Cabigting
• Kaitlin Taylor Caffaro, PA-C
• Dwayne Dennis Callwood, MD
• Alexandria Smith Cammarano, PH.D., LCMHCA, NCC
• Margaret Campbell, NP-C

• Adult Care Home Facility in Burlington, NC
• Providers in Burlington, 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 Jun 26, 2008; 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.