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SHOMARI FAMILY CARE HOME
NPI 1700079357
Custodial Care Facility - Adult Care Home in Yanceyville, NC

Active since August 27, 2007
3879 HODGES DAIRY RD, YANCEYVILLE, NC 27379(336) 694-9994 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shomari Family Care Home NPPES

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

SHOMARI FAMILY CARE HOME (NPI 1700079357) is a healthcare organization registered as an adult care home in Yanceyville, North Carolina and active in the NPI registry since August 2007. The organization lists Annie Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1700079357
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSHOMARI FAMILY CARE HOME
Location Address3879 HODGES DAIRY RDYanceyville, NC 27379-8430
Mailing AddressPo Box 1112Yanceyville, NC 27379-1112 · (336) 694-9994
Phone(336) 694-9994
Organization SubpartNo
Authorized OfficialAnnie LongOwner · (336) 694-9994
Enumeration DateAugust 27, 2007
✔ NPI 1700079357 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 · FCL-017-021
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.
3879 HODGES DAIRY RD, Yanceyville, NC 27379
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Other Identifiers 1

Medicaid7801386NC

Other Providers at the Same Location NPPES 2

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

ANNIE L LONG
Custodial Care Facility (Adult Care Home)
3879 HODGES DAIRY RD
YANCEYVILLE, NC 27379
Caswell County (336) 694-9994
DONNIE'S COMPASSIONATE FAMILY CARE HOME LLC
Custodial Care Facility (Adult Care Home)
3879 HODGES DAIRY RD
YANCEYVILLE, NC 27379
Caswell County (352) 219-2262

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 Shomari Family Care Home's NPI number?

The NPI number for Shomari Family Care Home is 1700079357. It was assigned to this organization in the NPPES registry on August 27, 2007.

Where is Shomari Family Care Home located?

Shomari Family Care Home is located at 3879 Hodges Dairy Rd, Yanceyville, NC 27379. The listed phone number is (336) 694-9994.

What is Shomari 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.

When was this NPI record last updated?

The NPPES record for Shomari Family Care Home was last updated on August 27, 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.