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ELLISON'S FAMILY CARE HOME #2
NPI 1639394539
Assisted Living Facility in Reidsville, NC

Active since April 16, 2007
1116 LAWSONVILLE AVE, REIDSVILLE, NC 27320(336) 634-0004(336) 349-2273 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ellison's Family Care Home #2 NPPES

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

ELLISON'S FAMILY CARE HOME #2 (NPI 1639394539) is a healthcare organization registered as an assisted living facility in Reidsville, North Carolina and active in the NPI registry since April 2007. The organization lists Clarissa B Ellison, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639394539
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameELLISON'S FAMILY CARE HOME #2
Location Address1116 LAWSONVILLE AVEReidsville, NC 27320-4112
Mailing AddressPo Box 1316Reidsville, NC 27323-1316 · (336) 349-2220 · Fax (336) 349-2273
Phone(336) 634-0004
Fax(336) 349-2273
Organization SubpartNo
Authorized OfficialClarissa B EllisonAdministrator · (336) 349-2220
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639394539 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 · FCL-079-040
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.
1116 LAWSONVILLE AVE, Reidsville, NC 27320
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Other Identifiers 1

Medicaid7803261NC

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 Ellison's Family Care Home #2's NPI number?

The NPI number for Ellison's Family Care Home #2 is 1639394539. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Ellison's Family Care Home #2 located?

Ellison's Family Care Home #2 is located at 1116 Lawsonville Ave, Reidsville, NC 27320. The listed phone number is (336) 634-0004.

What is Ellison's Family Care Home #2'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 Ellison's Family Care Home #2 was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.