Organization · Type 2 NPI
Smith Street Village Family Care Home, LLC
Adult Care Home Facility · Leicester, NC
NPI number
1275916942
Active
Practice location
234 Country Time Ln
Leicester, NC 28748-6213
Mailing address
PO Box 889
Mountain Home, NC 28758-0889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
3 other providers at this address
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- Evergreen Living #5Adult Care Home Facility Leicester, NC NPI 1053431957
- Aval 1 LLCAdult Care Home Facility Leicester, NC NPI 1073320156
- Smith Street Village Family Care Home, LLCAdult Care Home Facility Leicester, NC NPI 1174906846
- Evergreen Living Home Inc.Adult Care Home Facility Leicester, NC NPI 1205956398
- Evergreen Living #4Adult Care Home Facility Leicester, NC NPI 1255452017
- Leicester Elderly Care Services Inc.Adult Care Home Facility Leicester, NC NPI 1275659369
- Smith Street Village Family Care Home, LLCAdult Care Home Facility Leicester, NC NPI 1285017954
- Evergreen Living Home Inc.Adult Care Home Facility Leicester, NC NPI 1295856052
About NPI 1275916942
Smith Street Village Family Care Home, LLC's National Provider Identifier is 1275916942, issued on Jun 30, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Leicester, NC. The record was last updated on Jul 14, 2015.