Shomari Family Care Home

LBN: Shomari Family Care Home
Shomari Family Care Home is an health care organization with primary practice located at 3879 Hodges Dairy Rd , Yanceyville NC 27379-8430. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Shomari Family Care Home can be contacted via phone (336) 694-9994, or through Long, Annie via phone (336) 694-9994.

Contact Information

Primary practice address
3879 Hodges Dairy Rd Yanceyville NC 27379-8430
Phone: (336) 694-9994
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Long, Annie
Phone: (336) 694-9994

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL-017-021 North Carolina

Profile Details

NPI number 1700079357
LBN Legal business name Shomari Family Care Home
DBA Doing business as
Authorized official Long, Annie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2007
Last updated Aug 27th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700079357 NPPES
North Carolina MEDICAID 7801386

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