Provider Demographics
NPI: | 1922322056 |
---|---|
Name: | RAMSGATE FAMILY CARE HOME, LLC |
Entity Type: | Organization |
Organization Name: | RAMSGATE FAMILY CARE HOME, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | BARBARA |
Authorized Official - Middle Name: | ANNE |
Authorized Official - Last Name: | COPELAND |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 919-477-6051 |
Mailing Address - Street 1: | 3676 GUESS RD |
Mailing Address - Street 2: | |
Mailing Address - City: | DURHAM |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27705-2112 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 919-477-6051 |
Mailing Address - Fax: | 919-477-6717 |
Practice Address - Street 1: | 3676 GUESS RD |
Practice Address - Street 2: | |
Practice Address - City: | DURHAM |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27705-2112 |
Practice Address - Country: | US |
Practice Address - Phone: | 919-477-6051 |
Practice Address - Fax: | 919-477-6717 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-03-18 |
Last Update Date: | 2010-03-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | FCL-032-099 | 310400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |