LUCY HAIRSTON (NPI# 1972706232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972706232 |
| Entity Type | Organization |
| Organization Name | LUCY HAIRSTON |
| Other Organization Name | L & L FAMILY CARE |
| Practice Address |
3003 Chandler Mill Rd Pelham NC 27311-8785 |
| Mailing Address |
203 N Main St Ste 315 Roxboro NC 27573-5343 |
| Practice Telephone | 3369397176 |
| Mailing Telephone | 3365990375 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | LUCY HAIRSTON (OWNER) |
| Authorized Official Telephone | 3369397176 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-017-026 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803034 | 05 |
| Other Name | Type Code |
|---|---|
| L & L Family Care | Doing Business As Name - Organization |
| Street Address |
3003 CHANDLER MILL RD |
| City | PELHAM |
| State | NC |
| Zip Code | 27311-8785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740517697 | Pelham Gardens | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 306 Old Hwy 29, Pelham, NC 27311 | 2009-11-13 |
| 1831607035 | Corey Lewis Tarpley | Private Vehicle | 2838 Red Marshall Rd, Pelham, NC 27311-8413 | 2018-01-22 |
| 1780818526 | Calvin J Slade Sr. | Non-emergency Medical Transport (VAN) | 1162 Arch Cook Rd, Pelham, NC 27311-8746 | 2009-05-07 |
| 1972834059 | Blue Diamond Med Tech | Non-emergency Medical Transport (VAN) | 1162 Arch Cook Rd, Pelham, NC 27311-8746 | 2010-01-28 |
| 1558998724 | Aline Tilithia Kent | Counselor | 2347 Chandler Mill Rd, Pelham, NC 27311-8778 | 2020-03-26 |
| 1174175137 | Rudy Mccoy Foster | Non-emergency Medical Transport (VAN) | 5765 Allison Rd, Pelham, NC 27311-9038 | 2019-07-10 |
| 1780175604 | Valerie Long Russell | Non-emergency Medical Transport (VAN) | 5744 Allison Rd, Pelham, NC 27311-9038 | 2018-05-25 |
| 1881171494 | V Mobile | Non-emergency Medical Transport (VAN) | 5744 Allison Rd, Pelham, NC 27311-9038 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032874 | Erica A Goroshko | Registered Nurse | 6 Majestic Ave, Pelham, NH 03076-5005 | 2020-11-01 |
| 1508466608 | Megan Miles | Dietitian, Registered | 229 Perthshire Way, Pelham, AL 35124-6267 | 2020-10-28 |
| 1487252920 | Pelham Eye Center LLC | Optometrist | 200 Canyon Park Dr, Pelham, AL 35124-4817 | 2020-10-16 |
| 1093312423 | Pelham Family Chiropractic, LLC | Chiropractor | 71 Bridge St, Pelham, NH 03076-3479 | 2020-10-08 |
| 1659988624 | Paula Mcneil Tall | Social Worker | 457 Weatherly Club Dr, Pelham, AL 35124-2871 | 2020-09-24 |
| 1396351433 | Ashley Brook Loftis | Counselor | 2834j Pelham Pkwy, Pelham, AL 35124-1707 | 2020-09-22 |
| 1497360002 | Ian Maisonville | Optometrist | 3017 Indian Crest Dr, Pelham, AL 35124-4701 | 2020-09-10 |
| 1326652363 | Compassion Counseling, LLC | Clinic/Center | 600 Crosscreek Trl, Pelham, AL 35124-1566 | 2020-09-08 |
| 1477167096 | Joy Cotton | Massage Therapist | 101 Fifth Ave Apt 4, Pelham, NY 10803-1526 | 2020-09-01 |
| 1922611052 | Allison Patricia Billingsley | Dentist | 43 Bridge St Ste 6, Pelham, NH 03076-3400 | 2020-08-28 |
| Find all providers in PELHAM | ||||
| 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 |
|---|---|---|---|---|
| 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.