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THE EAST FAMILY CARE 1&2 NPI 1386988061


NPI Information

NPI: 1386988061
Provider Name: THE EAST FAMILY CARE 1&2

Other Name: THE EAST FAMILY CARE 1&2

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
843 WORSHAM MILL RD
830 WORSHAM MILL RD
RUFFIN, NC
ZIP 27326
Phone: (336) 939-7678
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THE EAST FAMILY CARE 1&2 is an adult care home custodial care facility in Ruffin, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. THE EAST FAMILY CARE 1&2 NPI is 1386988061. The provider is registered as an organization entity type.
The provider Other Name Is The East Family Care 1&2.

The provider's business location address is:

843 WORSHAM MILL RD
830 WORSHAM MILL RD
RUFFIN, NC
ZIP 27326-410
Phone: (336) 939-7678
Fax: (336) 939-9444

The provider's authorized official is Mernella Mai Sheffield .
The authorized official title is Administrater and has the following contact phone number (336) 939-7678.

The enumeration date for this NPI number is 11/19/2012 and was last updated on 11/19/2012.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeFCL-079-003NORTH CAROLINANo
2311ZA0620XCustodial Care FacilityAdult Care HomeFCL 079-002NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
156138015MEDICAIDNORTH 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: 5/5/2024

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