Provider Demographics
NPI:1851598742
Name:ROBINSONS FAMILY CARE HOME
Entity Type:Organization
Organization Name:ROBINSONS FAMILY CARE HOME
Other - Org Name:ROBINSON'S FAMILY CARE HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ETTA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTATOR
Authorized Official - Phone:828-699-0360
Mailing Address - Street 1:719 1ST AVE W
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4815
Mailing Address - Country:US
Mailing Address - Phone:828-699-0360
Mailing Address - Fax:
Practice Address - Street 1:719 1ST AVE W
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4815
Practice Address - Country:US
Practice Address - Phone:828-699-0360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-045-096310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC$$$$$$$$$OtherSOCIAL SECURITY