EMMANUEL OUTREACH MINISTRIES INC NPI 1619231792

NPI Information

NPI: 1619231792
Provider Name: EMMANUEL OUTREACH MINISTRIES, INC

Doing Business As: EMMANUEL OUTREACH CAPITAL INN-CARE FACILITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4761 DRAUGHON RD
FAYETTEVILLE, NC
ZIP 28312
Phone: (910) 484-1701
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EMMANUEL OUTREACH MINISTRIES, INC is an assisted living facility in Fayetteville, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EMMANUEL OUTREACH MINISTRIES, INC NPI is 1619231792. The provider is registered as an organization entity type.
The provider Is Doing Business As Emmanuel Outreach Capital Inn-care Facility.

The provider's business location address is:

4761 DRAUGHON RD
FAYETTEVILLE, NC
ZIP 28312-480
Phone: (910) 484-1701
Fax: (910) 484-1701

The provider's authorized official is Hilda B Moore .
The authorized official title is Administrator and has the following contact phone number (910) 574-9983.

The enumeration date for this NPI number is 7/3/2012 and was last updated on 7/3/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311Z00000X	Custodial Care Facility		FCL-026-060	NORTH CAROLINA	No
2	311ZA0620X	Custodial Care Facility	Adult Care Home	FCL-026-060	NORTH CAROLINA	No
3	347C00000X	Private Vehicle		FCL-026--060	NORTH CAROLINA	No
4	347E00000X	Transportation Broker		FCL-026-060	NORTH CAROLINA	No
5	310400000X	Assisted Living Facility		FCL-026-060	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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