Active NPI
Angel's Family Care #2
- Adult Care Home Facility
- Burlington, NC
National Provider Identifier
1982723607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL001078
- Legal business name
- ANGEL'S FAMILY CARE #2
- Practice address
- 410 Brooklyn St
Burlington, NC 27217-1108 - Phone
- (336) 221-1444
- Fax
- (336) 228-9376
- NPI assigned
- Mar 28, 2007
- Last updated
- Feb 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael J Graves
- Title
- Owner
- Phone
- (336) 228-9376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL001078 | NC | Primary |
Addresses
Primary practice location
410 Brooklyn St
Burlington, NC 27217-1108
Mailing address
410 Brooklyn St
Burlington, NC 27217-1108
Phone (336) 221-1444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803965 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Angel's Family Care 2
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Custodial Care Facility
- Burlington, NC
- NPI 1730207960
-
- Custodial Care Facility
- Burlington, NC
- NPI 1891813028
-
- Adult Care Home Facility
- Burlington, NC
- NPI 1639219058
Locations
410 Brooklyn St
Burlington, NC 27217
Phone (336) 221-1444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202774400000",
"number": "1982723607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BROOKLYN ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272171108",
"telephone_number": "336-221-1444",
"fax_number": "336-228-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BROOKLYN ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272171108",
"telephone_number": "336-221-1444",
"fax_number": "336-228-9376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL'S FAMILY CARE #2",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2008-02-12",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-228-9376",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "FCL001078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803965",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
- Andrews Drug Company Inc (Alamance Andrews Drug Company)
- Elisabeth Katherine Andrews, D.O.
- Julie Andrews, LCMHC, NCC, CCATP,
- Travis S Andrews, LCMHCS,LPCCS,CRC
- Anesthesia Services Associates
- Angelic Heartz Care Facility
- Angels Dda Care Center
- Angels Family Care Home #4
- Angels Family Care I
- Kiran Anna, MBBS,MRCP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.