NPIMap

Organization Active NPI

Hudson'S Family Care Home #1

  • Health Service Clinic/Center
  • Asheboro, NC
National Provider Identifier
1972787372
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
FCH076002 Issued in NC
Legal business name
HUDSON'S FAMILY CARE HOME #1
Practice address
695 Moore Rd
Asheboro, NC 27205-2838
Phone
(336) 629-3710
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Mrs. Susie Hudson
Title
Owner
Phone
(336) 629-3710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X FCH076002 NC Primary

Addresses

Primary practice location

695 Moore Rd
Asheboro, NC 27205-2838

Mailing address

695 Moore Rd
Asheboro, NC 27205-2838
Phone (336) 629-3710

Other identifiers 1

IdentifierTypeStateIssuer
7801779MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Hudson'S Family Care Home 12 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.

Locations

695 Moore Rd
Asheboro, NC 27205
Phone (336) 629-3710

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1972787372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 MOORE RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272052838",
            "telephone_number": "336-629-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 MOORE RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272052838",
            "telephone_number": "336-629-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON'S FAMILY CARE HOME #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-629-3710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "FCH076002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801779",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.