ARCHIE CROCKER
NPI 1720117526
Assisted Living Facility in Kings Mountain, NC

Q: What is Archie Crocker's NPI number?

The NPI number for Archie Crocker is 1720117526. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Archie Crocker's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Archie Crocker was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 05, 2007

429 CROCKER RD, KINGS MOUNTAIN, NC 28086(704) 739-6429 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Archie Crocker NPPES

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

ARCHIE CROCKER (NPI 1720117526) is an individual assisted living facility provider in Kings Mountain, North Carolina, licensed in North Carolina (FCL 023-010) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720117526

Entity TypeIndividualMale

Primary Taxonomy310400000X

Provider Legal NameARCHIE CROCKER

Location Address429 CROCKER RDKings Mountain, NC 28086-4004

Mailing Address102 Country Creek DrKings Mountain, NC 28086-8903

Phone(704) 739-6429

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1720117526 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 023-010

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.

429 CROCKER RD, Kings Mountain, NC 28086

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Other Identifiers 1

Medicaid7801288NC

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.

HEAVENLY TOUCH CARE HOME

Assisted Living Facility

429 CROCKER RD
KINGS MOUNTAIN, NC 28086

Cleveland County (704) 739-6429

DIVINE CARE HOME

Custodial Care Facility (Adult Care Home)

429 CROCKER RD
KINGS MOUNTAIN, NC 28086

Cleveland County (239) 350-8201

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 Archie Crocker's NPI number?

The NPI number for Archie Crocker is 1720117526. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Archie Crocker located?

Archie Crocker practices at 429 Crocker Rd, Kings Mountain, NC 28086. The listed phone number is (704) 739-6429.

What is Archie Crocker'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 Archie Crocker was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.