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MR. ESTELLA JOANN SPANN
NPI 1639823784
Assisted Living Facility in Blanch, NC

Active since February 08, 2022
1136 BERTHA WILSON RD, BLANCH, NC 27212(336) 694-1878(336) 694-1878 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Estella Joann Spann NPPES

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

MR. ESTELLA JOANN SPANN (NPI 1639823784) is an individual assisted living facility provider in Blanch, North Carolina, licensed in North Carolina (017058) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1639823784
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameMR. ESTELLA JOANN SPANN
Location Address1136 BERTHA WILSON RDBlanch, NC 27212-9795
Mailing Address1136 Bertha Wilson RdBlanch, NC 27212-9795 · (336) 694-1878 · Fax (336) 694-1878
Phone(336) 694-1878
Fax(336) 694-1878
Sole ProprietorYes
Enumeration DateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
✔ NPI 1639823784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · 017058
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.
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X · License 017058 (NM)
Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X · License 017058 (NC)
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 017058 (NC)
1136 BERTHA WILSON RD, Blanch, NC 27212
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Other Identifiers 1

Other017058NC · Facility License Number

Other Providers at the Same Location NPPES

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

TAYLOR FAMILY CARE 2 LLC
Assisted Living Facility
1136 BERTHA WILSON RD
BLANCH, NC 27212
Caswell County (336) 694-1878

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 Estella Spann's NPI number?

The NPI number for Estella Spann is 1639823784. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Estella Spann located?

Estella Spann practices at 1136 Bertha Wilson Rd, Blanch, NC 27212. The listed phone number is (336) 694-1878.

What is Estella Spann'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 Estella Spann was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.