Everett Family Care Home
Organization Active NPI Adult Care Home Facility · Aulander, NC
NPI 1992903926 · NPPES record last updated Jul 11, 2007
Key facts
- NPI
- 1992903926
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- FL008010 (NC)
- Legal business name
- EVERETT FAMILY CARE HOME
- Practice address
- 402 Broad St
Aulander, NC 27805 - Phone
- (252) 345-1452
- Fax
- (252) 345-1452
- NPI assigned
- Jul 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Kennith Eden Greene
- Title
- Administrator
- Phone
- (252) 345-1452
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FL008010 | NC | Yes |
Addresses
Primary practice location
402 Broad St
Aulander, NC 27805
Mailing address
PO Box 749
Aulander, NC 27805
Phone (252) 345-1452
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803179 | Medicaid | NC |
Other providers in Aulander, NC
- Ashley F Davis
- Definitive Touch Home Care, PLLC
- Definitive Touch Home Care,PLLC
- Ashley F Deloatch
- Semaan Y El-Khoury
- Ashley Taylor Flythe
- New Hope Child Development Centers, Inc
- New Hope Foundation Inc.
- Oc3 Inc
- Pathways Transportation LLC
All providers in Aulander, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.