FAVOR AND FAITH ADULT CARE HOME (NPI# 1043580061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043580061 |
| Entity Type | Organization |
| Organization Name | FAVOR AND FAITH ADULT CARE HOME |
| Practice Address |
217 N Gurney St Burlington NC 27215-4813 |
| Practice Telephone | 3363501441 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |
| Authorized Official Name | MS. MARY B. TYREE (OWNER) |
| Authorized Official Telephone | 3363501441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-001-142 | NC | Nursing & Custodial Care Facilities |
| Street Address |
217 N GURNEY ST |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124493945 | Community Care Home | Custodial Care Facility | 1104 S Church St, Burlington, NC 27215-5048 | 2015-12-04 |
| 1750772919 | Agape Family Care Home Inc. | Custodial Care Facility | 155 Carriage Loop, Burlington, NC 27217-7549 | 2015-02-10 |
| 1851722466 | Hearts of Gold | Custodial Care Facility | 206 Friendly Rd, Burlington, NC 27217-2502 | 2013-12-06 |
| 1972934685 | Shemia Garner | Custodial Care Facility | 914 Dixie St, Burlington, NC 27217-6620 | 2013-12-05 |
| 1598195133 | Hearts of Gold II | Custodial Care Facility | 207 Friendly Rd, Burlington, NC 27217-2501 | 2013-11-18 |
| 1386081909 | Anthony Street Family Care Home | Custodial Care Facility | 123 S Anthony St, Burlington, NC 27215-6601 | 2013-05-23 |
| 1841596905 | Warren Care Services, LLC | Custodial Care Facility | 1237 Westmoreland Dr, Burlington, NC 27217-1465 | 2011-02-07 |
| 1780847780 | Dogwood Family Care Home | Custodial Care Facility | 840 Ross St, Burlington, NC 27217-1651 | 2008-07-09 |
| 1124202866 | New Horizons Group Home | Custodial Care Facility | 121 Rolling Rd, Burlington, NC 27217-2603 | 2007-12-17 |
| 1235312133 | Jeffreys Family Care | Custodial Care Facility | 412 New St, Burlington, NC 27217-2438 | 2007-12-13 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on FAVOR AND FAITH ADULT CARE HOME.
| 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.