Provider Demographics
NPI:1609100171
Name:FLOYD HOME CARE, INC.
Entity Type:Organization
Organization Name:FLOYD HOME CARE, INC.
Other - Org Name:OPEN ARMS FAMILY CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELVA
Authorized Official - Middle Name:LASHAUN
Authorized Official - Last Name:ANDREWS-FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-937-7946
Mailing Address - Street 1:5054 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27803-8322
Mailing Address - Country:US
Mailing Address - Phone:252-885-2984
Mailing Address - Fax:
Practice Address - Street 1:116 WAYNE ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-3752
Practice Address - Country:US
Practice Address - Phone:252-937-7946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL064106311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home