Provider Demographics
NPI:1922131069
Name:DELLINGER FAMILY CARE
Entity Type:Organization
Organization Name:DELLINGER FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-287-7353
Mailing Address - Street 1:521 OSCAR JUSTICE RD
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-8114
Mailing Address - Country:US
Mailing Address - Phone:828-287-7353
Mailing Address - Fax:828-288-7350
Practice Address - Street 1:521 OSCAR JUSTICE RD
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-8114
Practice Address - Country:US
Practice Address - Phone:828-287-7353
Practice Address - Fax:828-288-7350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7801316Medicaid