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MIMS FAMILY CARE HOME
NPI 1396940177
Custodial Care Facility - Adult Care Home in Holly Springs, NC

Active since June 20, 2007CLIA 34D2185078 · Waiver
6401 MIMS RD, HOLLY SPRINGS, NC 27540(919) 552-6455(919) 567-5313 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mims Family Care Home NPPES

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

MIMS FAMILY CARE HOME (NPI 1396940177) is a healthcare organization registered as an adult care home in Holly Springs, North Carolina and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Joyce Mims, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1396940177
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameMIMS FAMILY CARE HOME
Location Address6401 MIMS RDHolly Springs, NC 27540-9561
Mailing Address6401 Mims RdHolly Springs, NC 27540-9561 · (919) 552-6455 · Fax (919) 567-5313
Phone(919) 552-6455
Fax(919) 567-5313
Organization SubpartNo
Authorized OfficialJoyce MimsAdminstrator · (919) 552-6455
Enumeration DateJune 20, 2007
Last NPPES UpdateSeptember 4, 2007
✔ NPI 1396940177 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 · FCL092045
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.

6401 MIMS RD, Holly Springs, NC 27540
Open in Google Maps ↗

Other Identifiers 1

Medicaid7801930NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2185078

Mims Family Care Home · Holly Springs, NC
Active · expires May 28, 2028
CLIA Number34D2185078
Laboratory TypeFamily Care Home
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorLisa Mims
Laboratory Phone(919) 552-6455
Laboratory LocationMims Family Care Home6337 Mims Road, Holly Springs, NC 27540
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mims Family Care Home's NPI number?

The NPI number for Mims Family Care Home is 1396940177. It was assigned to this organization in the NPPES registry on June 20, 2007.

Where is Mims Family Care Home located?

Mims Family Care Home is located at 6401 Mims Rd, Holly Springs, NC 27540. The listed phone number is (919) 552-6455.

What is Mims Family Care Home's specialty?

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

Does Mims Family Care Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2185078) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mims Family Care Home was last updated on September 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.