OLD MILL FAMILY CARE NPI 1588784268

NPI Information

  • NPI: 1588784268
  • Provider Name: OLD MILL FAMILY CARE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1808 OLD MILL RD
    ROCKY MOUNT, NC
    ZIP 27803
  • Phone: (252) 937-7958

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NPI Details

OLD MILL FAMILY CARE is an assisted living facility in Rocky Mount, 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. OLD MILL FAMILY CARE NPI is 1588784268. The provider is registered as an organization entity type.

The provider's business location address is:

1808 OLD MILL RD
ROCKY MOUNT, NC
ZIP 27803-137
Phone: (252) 937-7958
Fax: (252) 937-4143

The provider's authorized official is Geraldine Hudson .
The authorized official title is Owner and has the following contact phone number (252) 937-7958.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/22/2020.

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
1310400000XAssisted Living FacilityFCL-064-011NORTH 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
17804051MEDICAIDNORTH 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: 11/21/2025

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