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SAVANNAH FAMILY CARE HOME NPI 1629137484


NPI Information

NPI: 1629137484
Provider Name: SAVANNAH FAMILY CARE HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
128 N CARLISLE ST
SOUTHERN PINES, NC
ZIP 28387
Phone: (910) 695-3665
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SAVANNAH FAMILY CARE HOME is an adult care home custodial care facility in Southern Pines, 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. SAVANNAH FAMILY CARE HOME NPI is 1629137484. The provider is registered as an organization entity type.

The provider's business location address is:

128 N CARLISLE ST
SOUTHERN PINES, NC
ZIP 28387-938
Phone: (910) 695-3665
Fax: (910) 695-3665

The provider's authorized official is Sharronda Melvin Savannah .
The authorized official title is Administrator Owner and has the following contact phone number (910) 695-3665.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 8/22/2020.


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 Home063009NORTH 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

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