Provider Type Icon

SPRINGHAVEN FCH # 2 NPI 1619015591


NPI Information

NPI: 1619015591
Provider Name: SPRINGHAVEN FCH # 2
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1308 E LANE ST
RALEIGH, NC
ZIP 27610
Phone: (919) 828-3834
Get Directions

SPRINGHAVEN FCH # 2 is an adult care home custodial care facility in Raleigh, NC. The provider is 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. SPRINGHAVEN FCH # 2 NPI is 1619015591. The provider is registered as an organization entity type.

The provider's business location address is:

1308 E LANE ST
RALEIGH, NC
ZIP 27610-322
Phone: (919) 828-3834
Fax: (919) 496-3714

The provider's authorized official is Gail Dianne Titues'jones .
The authorized official title is Owner and has the following contact phone number (252) 813-8416.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 9/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeFCL092100NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.