EVERETT FAMILY CARE HOME (NPI# 1992903926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992903926 |
| Entity Type | Organization |
| Organization Name | EVERETT FAMILY CARE HOME |
| Practice Address |
402 Broad St Aulander NC 27805 |
| Mailing Address |
Po Box 749 Aulander NC 27805 |
| Practice Telephone | 2523451452 |
| Practice Fax Number | 2523451452 |
| Mailing Telephone | 2523451452 |
| Mailing Fax Number | 2523451452 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | MR. KENNITH EDEN GREENE (ADMINISTRATOR) |
| Authorized Official Telephone | 2523451452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FL008010 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803179 | 05 |
| Street Address |
402 BROAD ST |
| City | AULANDER |
| State | NC |
| Zip Code | 27805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841634243 | Windsor Healthcare, LLC | Assisted Living Facility | 141 Arthur Majette Road, Aulander, NC 27805 | 2013-04-29 |
| 1306963079 | Cherrys Family Care #2 | Custodial Care Facility | 743 Charles Taylor Road, Aulander, NC 27805 | 2007-03-26 |
| 1114335932 | Definitive Touch Home Care,pllc | Point of Service | 111 E Main St, Unit B, Aulander, NC 27805-0011 | 2014-07-24 |
| 1750637872 | Definitive Touch Home Care, Pllc | Early Intervention Provider Agency | 111 E Main St, Unit B, Aulander, NC 27805-0011 | 2012-07-26 |
| 1467576819 | Cherrys Family Care #3 | Custodial Care Facility | 106 Harmon Street, Aulander, NC 27805-0236 | 2007-03-19 |
| 1063774982 | Cherry's Family Care #3 | Custodial Care Facility | 106 Harmon Street, Aulander, NC 27805-0236 | 2012-06-15 |
| 1932248978 | Aulander Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 101 S. Commerce St., Aulander, NC 27805-0250 | 2007-02-06 |
| 1538206560 | W.hoyt Todd | Pharmacist | 101 S. Comm. St, Aulander, NC 27805-0250 | 2007-01-31 |
| 1245216449 | Penny L. Brown | Nurse Practitioner | 114 Hollowell Road, Aulander, NC 27805-0309 | 2005-12-20 |
| 1841533379 | Ashley F Deloatch | Nurse Practitioner | 114 Hollowell Road, Aulander, NC 27805-0309 | 2013-04-03 |
| Find all providers in zip 27805 | ||||
| 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 |
|---|---|---|---|---|
| 1306963079 | Cherrys Family Care #2 | Custodial Care Facility | 743 Charles Taylor Road, Aulander, NC 27805 | 2007-03-26 |
| 1467576819 | Cherrys Family Care #3 | Custodial Care Facility | 106 Harmon Street, Aulander, NC 27805-0236 | 2007-03-19 |
| 1588796791 | Vanderbill Cherry Jr. | Custodial Care Facility | 1215 Charles Taylor Rd, Aulander, NC 27805-9770 | 2007-03-12 |
| 1063774982 | Cherry's Family Care #3 | Custodial Care Facility | 106 Harmon Street, Aulander, NC 27805-0236 | 2012-06-15 |
| 1295954873 | Cherry's Family Care | Custodial Care Facility | 1215 Charles Taylor Rd, Aulander, NC 27805-9770 | 2007-04-24 |
| 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.