Provider Demographics
NPI:1093929754
Name:KNIGHT'S FAMILY CARE HOMES
Entity Type:Organization
Organization Name:KNIGHT'S FAMILY CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:D
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-443-1619
Mailing Address - Street 1:3305 GREENFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8238
Mailing Address - Country:US
Mailing Address - Phone:252-443-1619
Mailing Address - Fax:252-443-7697
Practice Address - Street 1:3305 GREENFIELD DR
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8238
Practice Address - Country:US
Practice Address - Phone:252-443-1619
Practice Address - Fax:252-443-7697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL064006311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home