KELLAMS FAMILY CARE HOME
NPI 1952786063
Assisted Living Facility in Reidsville, NC

NPI Status: Active since July 30, 2015

Contact Information

109 ROANOKE ST
REIDSVILLE, NC
ZIP 27320
Phone: (336) 637-8292
Fax: (336) 361-3194

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  • Organization
  • Assisted Living Facility

About KELLAMS FAMILY CARE HOME

This page provides the complete NPI Profile along with additional information for Kellams Family Care Home, a provider established in Reidsville, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1952786063 assigned on July 2015. The practitioner's primary taxonomy code is 310400000X with license number FCL079098 (NC). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Kellams Family Care Home. The authorized official of this NPI record is Mary Keesee Thomas (Administrator)

NPI
1952786063
Provider Legal Name
KELLAMS FAMILY CARE HOME LLC
Other Organization Name
KELLAMS FAMILY CARE HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
109 ROANOKE ST REIDSVILLE, NC 27320
Location Phone
(336) 637-8292
Location Fax
(336) 361-3194
Mailing Address
505 STAPLES ST REIDSVILLE, NC 27320
Mailing Phone
(336) 342-1388
Mailing Fax
(336) 361-3194
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2015
Last Update Date
01-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
FCL079098
License State
NC
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY KEESEE THOMAS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(336) 613-5065

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952786063
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2910214812012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 4 + 8 + 1 + 2 + 0 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1952786063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861519589 LATOYA LENORE THURSTON-GRIGGS
Individual
Nursing Home Administrator109 ROANOKE ST
REIDSVILLE, NC 27320
(336) 349-4255
1275791634KELLAMS FAMILY CARE INC
Organization
Assisted Living Facility109 ROANOKE ST
REIDSVILLE, NC 27320
(336) 349-4255
1861822694MS. DARLENE GALLOWAY
Individual
Assisted Living Facility109 ROANOKE ST
REIDSVILLE, NC 27320
(336) 349-4255
1821411810KELLAM'S FAMILY CARE
Organization
Assisted Living Facility109 ROANOKE ST
REIDSVILLE, NC 27320
(336) 264-2862
1790463768HARRISONS CARING HANDS 4 LLC
Organization
Custodial Care Facility (Adult Care Home)109 ROANOKE ST
REIDSVILLE, NC 27320
(336) 280-1358

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952786063, enumerated in the NPI registry as an "organization" on July 30, 2015

The provider is located at 109 Roanoke St Reidsville, Nc 27320 and the phone number is (336) 637-8292

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on July 30, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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