1. Home
  2. Directory
  3. North Carolina
  4. Reidsville
  5. Assisted Living Facility
  6. NPI Profile

ELLISON'S FAMILY CARE HOME3
NPI 1659596575
Assisted Living Facility in Reidsville, NC

Active since April 16, 2007
31 ALEX POTEAT RD, REIDSVILLE, NC 27320(336) 634-1332(336) 349-2273 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellison's Family Care Home3 NPPES

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

ELLISON'S FAMILY CARE HOME3 (NPI 1659596575) 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

NPI1659596575
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameELLISON'S FAMILY CARE HOME3
Location Address31 ALEX POTEAT RDReidsville, NC 27320-9741
Mailing AddressPo Box 1316Reidsville, NC 27323-1316 · (336) 349-2220 · Fax (336) 349-2273
Phone(336) 634-1332
Fax(336) 349-2273
Organization SubpartNo
Authorized OfficialClarissa B EllisonAdministrator · (336) 349-2220
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1659596575 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-017-029
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.
31 ALEX POTEAT RD, Reidsville, NC 27320
Open in Google Maps ↗

Other Identifiers 1

Medicaid7803270NC

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 Home3's NPI number?

The NPI number for Ellison's Family Care Home3 is 1659596575. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Ellison's Family Care Home3 located?

Ellison's Family Care Home3 is located at 31 Alex Poteat Rd, Reidsville, NC 27320. The listed phone number is (336) 634-1332.

What is Ellison's Family Care Home3'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 Home3 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 5 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.