ANT MARY'S FAMILY CARE #1 (NPI# 1760709364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760709364 |
| Entity Type | Organization |
| Organization Name | ANT MARY'S FAMILY CARE #1 |
| Practice Address |
104 West James Street Ant Mary's Family Care Home #1 Lagrange NC 28551-3770 |
| Mailing Address |
104 West James St. Ant Mary's Family Care Home #1 Lagrange NC 28551-3770 |
| Practice Telephone | 9193449903 |
| Mailing Telephone | 9193449903 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | MRS. EULA CONYERS (OWNER) |
| Authorized Official Telephone | 9193449903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | FCL054065 | NC | Ambulatory Health Care Facilities |
| Street Address |
104 WEST JAMES STREET ANT MARY'S FAMILY CARE HOME #1 |
| City | LAGRANGE |
| State | NC |
| Zip Code | 28551-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229215 | Christopher Webster | Physical Therapist | 3870 Falling Creek Road, Legrange, NC 28551 | 2017-07-28 |
| 1437527082 | Tanger Lee Jones | Counselor | 197 Brook Meadow Lane, Lagrange, NC 28551 | 2015-09-11 |
| 1235362161 | Daniel's Choices Youth Development, Inc. | Community/Behavioral Health | 525 Arba Jason Rd., La Grange, NC 28551 | 2009-08-26 |
| 1518942135 | Marjorie R Rachide | Nurse Practitioner | 101 South Carey Street, Lagrange, NC 28551 | 2005-12-07 |
| 1669611471 | Nova Ic, Inc. | Intermediate Care Facility, Mentally Retarded | 407 W. Washington Street, Lagrange, NC 28551-1623 | 2009-02-18 |
| 1447499330 | Nova Ic, Inc. | Intermediate Care Facility, Mentally Retarded | 405 W Washington St, La Grange, NC 28551-1623 | 2009-02-17 |
| 1629259676 | Advantage Care of North Carolina, LLC | Case Management | 111 S Caswell St, La Grange, NC 28551-1707 | 2007-11-19 |
| 1629118013 | Waters' Provider Care Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 W James St, La Grange, NC 28551-1727 | 2007-02-07 |
| 1568586808 | Ant Mary's Family Care | Custodial Care Facility | 127 E Railroad St, La Grange, NC 28551-1741 | 2007-03-19 |
| 1720063340 | Carl L Haynes Jr. | Family Medicine | 101 S Carey St, La Grange, NC 28551-1805 | 2005-12-07 |
| Find all providers in zip 28551 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851716195 | Connecticut General Life Insurance Company | Clinic/Center | 1503 Orchard Hill Rd, Lagrange, GA 30240-5709 | 2014-02-24 |
| 1679132922 | Judy B Bain | Clinic/Center | 104 Harwell Ave Ste 236, Lagrange, GA 30240-3132 | 2019-06-11 |
| 1013283563 | Wolf Specific, Inc | Clinic/Center | 1697 Vernon Rd Ste A, Lagrange, GA 30240-4180 | 2012-03-29 |
| 1831411008 | Jm Group Services Corp | Clinic/Center | 2170 W Point Rd, Suite 25, Lagrange, GA 30240-4007 | 2010-02-15 |
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|---|---|---|---|---|
| 1649871807 | Little Beam Rehabilitation Services | Clinic/Center | 1745 Us Highway 64 W, Plymouth, NC 27962-9325 | 2020-11-04 |
| 1962000828 | Flash Rsn Family and Urgent Care, Pllc | Clinic/Center | 316 Summerwalk Rd, Greensboro, NC 27455-1556 | 2020-10-13 |
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1568088672 | Whole Life Chiropractic PC | Clinic/Center | 5410 Page Rd Ste 3, Durham, NC 27703-8230 | 2020-06-24 |
| 1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
| 1710510482 | Tailored Telehealth | Clinic/Center | 218 Westover Dr, Asheville, NC 28801-1638 | 2020-02-20 |
| 1114567930 | Metroview Healthcare Solutions Inc | Clinic/Center | 301 E John St Ste 2501, Matthews, NC 28105-4837 | 2020-01-09 |
| 1174160923 | Newell Health | Clinic/Center | 10208 Cerny St Ste 308, Raleigh, NC 27617-7885 | 2019-11-27 |
| 1871138644 | Ourhealth Physicians Group, LLC | Clinic/Center | 2335 Matthews Township Pkwy Ste 101, Matthews, NC 28105-2403 | 2019-11-15 |
| 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.