Provider Type Icon

BEATRICE PETWAY NPI 1962547505


NPI Information

NPI: 1962547505
Provider Name: BEATRICE PETWAY

Doing Business As: YOUR LOVING FAMILY CARE HOME 1

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

Specialization: Adult Care Home

Address:
730 MARIGOLD ST
ROCKY MOUNT, NC
ZIP 27801
Phone: (252) 446-5559
Get Directions

BEATRICE PETWAY is an adult care home custodial care facility in Rocky Mount, 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. BEATRICE PETWAY NPI is 1962547505. The provider is registered as an organization entity type.
The provider Is Doing Business As Your Loving Family Care Home 1.

The provider's business location address is:

730 MARIGOLD ST
ROCKY MOUNT, NC
ZIP 27801-908
Phone: (252) 446-5559
Fax: (252) 446-5560

The provider's authorized official is Beatrice Petway .
The authorized official title is Owner and has the following contact phone number (252) 813-5960.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 9/19/2023.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeFCL033006NORTH 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
17804834MEDICAIDNORTH 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.