Provider Demographics
NPI:1477365161
Name:THOMAS FAMILY CARE LLC
Entity type:Organization
Organization Name:THOMAS FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRINNETTA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MUMFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-337-5850
Mailing Address - Street 1:1525 FINWICK DR
Mailing Address - Street 2:
Mailing Address - City:PFAFFTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27040-9040
Mailing Address - Country:US
Mailing Address - Phone:336-337-5850
Mailing Address - Fax:
Practice Address - Street 1:1525 FINWICK DR
Practice Address - Street 2:
Practice Address - City:PFAFFTOWN
Practice Address - State:NC
Practice Address - Zip Code:27040-9040
Practice Address - Country:US
Practice Address - Phone:336-337-5850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities