GRAHAM DRIVE FAMILY CARE HOME (NPI# 1255777256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255777256 |
| Entity Type | Organization |
| Organization Name | GRAHAM DRIVE FAMILY CARE HOME |
| Practice Address |
509 Graham Dr Graham NC 27253-2119 |
| Practice Telephone | 3362281525 |
| Practice Fax Number | 3362281523 |
| Mailing Telephone | 3362281525 |
| Mailing Fax Number | 3362281523 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |
| Authorized Official Name | MISS STELLA KAYE FOWLER (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 3362281525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
509 GRAHAM DR |
| City | GRAHAM |
| State | NC |
| Zip Code | 27253-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487065918 | Matthew Patrick Ellison | Dentist | 150 West Crescent Square Dr., Graham, NC 27253 | 2014-05-19 |
| 1699057158 | Edna Koko Zamparelli | Pharmacist | 901 South Main St, Graham, NC 27253 | 2011-09-12 |
| 1033429410 | Jennifer Blair Thompson | Pharmacist | 401 S. Main Street, Graham, NC 27253 | 2010-10-19 |
| 1205005105 | Woodard Eye Care Od Pllc | Optometrist | Woodard Eye Care, 304 S Main St, Graham, NC 27253 | 2008-02-25 |
| 1538288063 | David Bower | Physical Therapy Assistant | Rehab & Healthcare Center of Alamance, 779 Woody Dr, Graham, NC 27253 | 2007-03-28 |
| 1255435962 | Don W Noah | Chiropractor | 207 North Marshall Street, Graham, NC 27253 | 2006-09-12 |
| 1871504241 | Jennifer S Gordy | Social Worker | 200 N Main St Fl 3, Graham, NC 27253 | 2006-08-11 |
| 1740210103 | Jody Paul Wallace | Dentist | 2148 Highway 54, Graham, NC 27253 | 2006-07-03 |
| 1457397192 | Graham Urgent Care Pa | Clinic/Center | 217 East Elm St, Graham, NC 27253 | 2006-06-21 |
| 1053361931 | Lee Hall Worthington | Counselor | 5628 Old Cherokee Ln, Graham, NC 27253 | 2006-05-11 |
| Find all providers in zip 27253 | ||||
| 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 |
|---|---|---|---|---|
| 1356571046 | Give Christ Adult Care Home | Custodial Care Facility | 108 Eastway Ln, Graham, NC 27253-3704 | 2009-07-16 |
| 1518131036 | Heavenly Acres Afh Inc. | Custodial Care Facility | 27115 76th Ave E, Graham, WA 98338-7370 | 2008-04-16 |
| 1316150105 | Graves Family Care | Custodial Care Facility | 222 Guthrie St, Graham, NC 27253-2201 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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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.