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WHITES FAMILY CARE HOME NPI 1164689758


NPI Information

NPI: 1164689758
Provider Name: WHITES FAMILY CARE HOME
Classification: Registered Nurse - 163WA2000X
Entity Type: Organization

Specialization: Administrator

Address:
708 WEST 3RD STREET
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-2460
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WHITES FAMILY CARE HOME is an administrator registered nurse in Greenville, NC. WHITES FAMILY CARE HOME NPI is 1164689758. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

708 WEST 3RD STREET
GREENVILLE, NC
ZIP 27834-928
Phone: (252) 752-2460

The provider's authorized official is Bessie Lee White .
The authorized official title is Administrator and has the following contact phone number (252) 752-2460.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WA2000XRegistered NurseAdministratorFCL074025NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17805181MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.