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ELLISON'S FAMILY CARE HOME
NPI 1699957407
Assisted Living Facility in Reidsville, NC

Active since December 04, 2007
372 CANDY CREEK RD, REIDSVILLE, NC 27320(336) 349-2220(336) 349-2273 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ellison's Family Care Home NPPES

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

ELLISON'S FAMILY CARE HOME (NPI 1699957407) is a healthcare organization registered as an assisted living facility in Reidsville, North Carolina and active in the NPI registry since December 2007. The organization lists Clarissa Broadnax Ellison, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699957407
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameELLISON'S FAMILY CARE HOME
Location Address372 CANDY CREEK RDReidsville, NC 27320-1626
Mailing Address372 Candy Creek RdReidsville, NC 27320-1626 · (336) 349-2220 · Fax (336) 349-2273
Phone(336) 349-2220
Fax(336) 349-2273
Organization SubpartNo
Authorized OfficialClarissa Broadnax EllisonAdministrator · (336) 349-2220
Enumeration DateDecember 4, 2007
✔ NPI 1699957407 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-079-004
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.
372 CANDY CREEK RD, Reidsville, NC 27320
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Other Identifiers 1

Medicaid7801455NC

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's NPI number?

The NPI number for Ellison's Family Care Home is 1699957407. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Ellison's Family Care Home located?

Ellison's Family Care Home is located at 372 Candy Creek Rd, Reidsville, NC 27320. The listed phone number is (336) 349-2220.

What is Ellison's 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 Ellison's Family Care Home was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.