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YOUR GRACE & MERCY FCH NPI 1720313695


NPI Information

NPI: 1720313695
Provider Name: YOUR GRACE & MERCY FCH
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization

CLIA Number: 34D2021712

Address:
919 ELM ST
BURLINGTON, NC
ZIP 27217
Phone: (336) 222-0312
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YOUR GRACE & MERCY FCH is a custodial care facility in Burlington, NC. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. YOUR GRACE & MERCY FCH NPI is 1720313695. The provider is registered as an organization entity type.

The provider's business location address is:

919 ELM ST
BURLINGTON, NC
ZIP 27217-367
Phone: (336) 222-0312
Fax: (336) 222-0312

The provider's authorized official is Febbie Gant Wilson .
The authorized official title is Administrator and has the following contact phone number (336) 222-0312.

The CLIA number assigned to this NPI record is 34D2021712 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2009 and was last updated on 10/12/2009.


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
1311Z00000XCustodial Care Facility001-133NORTH CAROLINAYes

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

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