Organization Active NPI

Family First Assisted Living LLC

  • Assisted Living Facility
  • Eden, NC
National Provider Identifier
1982168571
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FAMILY FIRST ASSISTED LIVING LLC
Practice address
424 Glovenia St
Eden, NC 27288-4844
Phone
(336) 623-1093
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Kasey Ross
Title
Owner
Phone
(352) 219-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

424 Glovenia St
Eden, NC 27288-4844

Mailing address

424 Glovenia St
Eden, NC 27288-4844
Phone (336) 623-1093

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1982168571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 GLOVENIA ST",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884844",
            "telephone_number": "336-623-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 GLOVENIA ST",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884844",
            "telephone_number": "336-623-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-219-2262"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.