National Provider Identifier Database

EVERETT FAMILY CARE HOME
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.


Contact Information

EVERETT FAMILY CARE HOME
402 BROAD ST
AULANDER, NC27805
Phone: 252-345-1452
Fax: 252-345-1452
Website:
Specialty Taxonomy Code
* Adult Care Home 311ZA0620X

* Indicates primary specialty

NPI Profile & details for EVERETT FAMILY CARE HOME

NPI Number 1992903926
Legal business name
LBN
EVERETT FAMILY CARE HOME
Authorized official KENNITH GREENE - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/11/2007
Last updated 07/11/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: FL008010
  • NC Medicaid: 7803179

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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