SHOMARI FAMILY CARE
NPI 1154450591
Custodial Care Facility - Adult Care Home in Yanceyville, NC

Active since March 03, 2007
3879 HODGES DAIRY RD, YANCEYVILLE, NC 27379(336) 694-9994(336) 694-1107 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shomari Family Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOMARI FAMILY CARE (NPI 1154450591) is a healthcare organization registered as an adult care home in Yanceyville, North Carolina and active in the NPI registry since March 2007. The organization lists Annie L Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1154450591
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameANNIE L LONG
Location Address3879 HODGES DAIRY RDYanceyville, NC 27379-8430
Mailing AddressPo Box 1112Yanceyville, NC 27379-1112 · (336) 694-9994 · Fax (336) 694-1107
Fax(336) 694-1107
Organization SubpartNo
Authorized OfficialAnnie L LongOwner · (336) 694-9994
Enumeration DateMarch 3, 2007
Last NPPES UpdateAugust 17, 2007
NPI 1154450591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in NC · FCL017021
Definition
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.
3879 HODGES DAIRY RD, Yanceyville, NC 27379

Other Names 1

Doing Business AsShomari Family Care

Other Identifiers 1

Medicaid7801386NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
3879 HODGES DAIRY RD
YANCEYVILLE, NC 27379
Custodial Care Facility (Adult Care Home)
3879 HODGES DAIRY RD
YANCEYVILLE, NC 27379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annie L Long's NPI number?

The NPI number for Annie L Long is 1154450591. It was assigned to this organization in the NPPES registry on March 3, 2007. The provider is doing business as Shomari Family Care.

Where is Annie L Long located?

Annie L Long is located at 3879 Hodges Dairy Rd, Yanceyville, NC 27379. The listed phone number is (336) 694-9994.

What is Annie L Long's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Annie L Long was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.