GRAVES FAMILY CARE HOME 1 (NPI# 1386866747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386866747 |
| Entity Type | Organization |
| Organization Name | GRAVES FAMILY CARE HOME 1 |
| Practice Address |
2896 Stoney Creek School Rd Reidsville NC 27320-0410 |
| Mailing Address |
2872 Stoney Creek School Rd Reidsville NC 27320-0410 |
| Practice Telephone | 3364210016 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ROBIN F GRAVES (ADMINISTRATOR) |
| Authorized Official Telephone | 3364210016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-017-008 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802217 | 05 |
| Street Address |
2896 STONEY CREEK SCHOOL RD |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-0410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| 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 |
|---|---|---|---|---|
| 1427495753 | Gwynn's Consulting, LLC | Custodial Care Facility | 143 Crutchfield Rd, Reidsville, NC 27320-8261 | 2013-05-28 |
| 1790064558 | Chilton Family Care Home, LLC | Custodial Care Facility | 135 Turner Farm Ln, Reidsville, NC 27320-7288 | 2011-08-11 |
| 1841448669 | Faithworks Assisted Living | Custodial Care Facility | 814 Lindsey St, Reidsville, NC 27320-3112 | 2008-09-04 |
| 1275700502 | Cherry Grove Retreat | Custodial Care Facility | 596 Neal Rd, Reidsville, NC 27320-0333 | 2008-05-15 |
| 1063683480 | Marks Family Care #1 | Custodial Care Facility | 476 Hwy 87, Reidsville, NC 27320-9724 | 2008-03-13 |
| 1780803270 | Daphne's Family Care Home | Custodial Care Facility | 1802 Amos St, Reidsville, NC 27320-6204 | 2007-04-24 |
| 1821132465 | Nancy O Turners Family Care Home #1 | Custodial Care Facility | 165 Turner Farm Ln, Reidsville, NC 27320-7288 | 2007-02-16 |
| 1912515115 | Harrisons Caring Hands | Custodial Care Facility | 814 Lindsey St, Reidsville, NC 27320-3112 | 2020-07-14 |
| 1619510237 | Marlene Renita Harrison | Custodial Care Facility | 814 Lindsey St, Reidsville, NC 27320-3112 | 2019-10-27 |
| 1699212555 | New Graeson Manor Adult Care | Custodial Care Facility | 116 Gwynn Dr, Reidsville, NC 27320-8710 | 2017-01-30 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on GRAVES FAMILY CARE HOME 1.
| 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.