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LUCORJA FAMILY CARE HOME
NPI 1326126475
Assisted Living Facility in Charlotte, NC

Active since November 02, 2006
5356 COBURG AVE, CHARLOTTE, NC 28215(704) 563-1020(704) 563-1072 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lucorja Family Care Home NPPES

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

LUCORJA FAMILY CARE HOME (NPI 1326126475) is a healthcare organization registered as an assisted living facility in Charlotte, North Carolina and active in the NPI registry since November 2006. The organization lists Corliss L Cooke, President, as its authorized official.

NPPES Registry Identity

NPI1326126475
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLUCORJA FAMILY CARE HOME
Location Address5356 COBURG AVECharlotte, NC 28215-2202
Mailing Address4701 Freedom DrCharlotte, NC 28208-1719 · (704) 398-9574 · Fax (704) 392-5524
Phone(704) 563-1020
Fax(704) 563-1072
Organization SubpartNo
Authorized OfficialCorliss L CookePresident · (704) 563-1020
Enumeration DateNovember 2, 2006
Last NPPES UpdateAugust 21, 2007
✔ NPI 1326126475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · FCI060069
Definition
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.
5356 COBURG AVE, Charlotte, NC 28215
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Other Identifiers 1

Medicaid7805039NC

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 Lucorja Family Care Home's NPI number?

The NPI number for Lucorja Family Care Home is 1326126475. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Lucorja Family Care Home located?

Lucorja Family Care Home is located at 5356 Coburg Ave, Charlotte, NC 28215. The listed phone number is (704) 563-1020.

What is Lucorja Family Care Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Lucorja Family Care Home was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.