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MT. OLIVE FAMILY CARE HOME #2
NPI 1700914595
Custodial Care Facility - Adult Care Home in Fairmont, NC

Active since March 01, 2007
14471 NC HIGHWAY 41 S, FAIRMONT, NC 28340(910) 628-7594 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mt. Olive Family Care Home #2 NPPES

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

MT. OLIVE FAMILY CARE HOME #2 (NPI 1700914595) is a healthcare organization registered as an adult care home in Fairmont, North Carolina and active in the NPI registry since March 2007. The organization lists Willie Edward Spruill, Administrator, as its authorized official.

NPPES Registry Identity

NPI1700914595
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameMT. OLIVE FAMILY CARE HOME #2
Location Address14471 NC HIGHWAY 41 SFairmont, NC 28340-5977
Mailing Address305 Jackson StFairmont, NC 28340-1621 · (910) 628-7755 · Fax (910) 628-7755
Phone(910) 628-7594
Organization SubpartNo
Authorized OfficialWillie Edward SpruillAdministrator · (910) 628-7755
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1700914595 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-078-015
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.
14471 NC HIGHWAY 41 S, Fairmont, NC 28340
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Other Identifiers 1

Medicaid7801471NC

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 Mt. Olive Family Care Home #2's NPI number?

The NPI number for Mt. Olive Family Care Home #2 is 1700914595. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Mt. Olive Family Care Home #2 located?

Mt. Olive Family Care Home #2 is located at 14471 Nc Highway 41 S, Fairmont, NC 28340. The listed phone number is (910) 628-7594.

What is Mt. Olive Family Care Home #2'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 Mt. Olive 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 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.