LEAK'S FAMILY CARE HOME (NPI# 1043406002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043406002 |
| Entity Type | Organization |
| Organization Name | LEAK'S FAMILY CARE HOME |
| Practice Address |
548 Cox Maddox Rd Sanford NC 27332-8019 |
| Mailing Address |
811 Hillwood St Sanford NC 27330-5530 |
| Practice Telephone | 9192583138 |
| Mailing Telephone | 9197746662 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | CRINFORD LEAK SR. (OWNER) |
| Authorized Official Telephone | 9197746662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316133374 | Leak's Family Care Home | Assisted Living Facility | 302 Stone St, Sanford, NC 27330-5831 | 2007-09-24 |
| Street Address |
548 COX MADDOX RD |
| City | SANFORD |
| State | NC |
| Zip Code | 27332-8019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
| 1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
| 1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
| 1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
| 1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
| Find all providers in zip 27332 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871009258 | Sunshine Pharmacy of Sanford LLC | Assisted Living Facility | 5040 Sr 46 Ste 1126, Sanford, FL 32771-9252 | 2017-12-20 |
| 1790186526 | Parkview Retirement Center, Inc. | Assisted Living Facility | 1801 Wicker St, Sanford, NC 27330-7782 | 2014-09-11 |
| 1720418635 | Hope Assisted Living Facility | Assisted Living Facility | 1401 Dixie Way, Sanford, FL 32771-3034 | 2013-11-14 |
| 1548604267 | Nic 5 Renaissance Retirement Leasing LLC | Assisted Living Facility | 300 W Airport Blvd., Sanford, FL 32773 | 2013-04-24 |
| 1104060656 | Manor At Phillipstown Place Inc | Assisted Living Facility | 27 Mayflower St, Sanford, ME 04073-3645 | 2009-04-28 |
| 1538324801 | Renassaince Retirement Center, LLC | Assisted Living Facility | 300 W Airport Blvd, Sanford, FL 32773-8000 | 2008-07-25 |
| 1992988547 | Guardian Home Alf LLC | Assisted Living Facility | 431 E Airport Blvd, Sanford, FL 32773-5494 | 2007-12-06 |
| 1629258678 | Alternative Senior Care | Assisted Living Facility | 5433 Sr 46, Sanford, FL 32771-9236 | 2007-11-07 |
| 1316133374 | Leak's Family Care Home | Assisted Living Facility | 302 Stone St, Sanford, NC 27330-5831 | 2007-09-24 |
| 1265633762 | Four Seasons Alf Inc | Assisted Living Facility | 5080 Wayside Dr, Sanford, FL 32771-8613 | 2007-05-30 |
| Find all providers in SANFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.