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LISA L MIMS
NPI 1750019725
Custodial Care Facility in Fuquay Varina, NC

Active since August 09, 2022
504 BURTON ST, FUQUAY VARINA, NC 27526(919) 753-8042(919) 762-7621 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa L Mims NPPES

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

LISA L MIMS (NPI 1750019725) is an individual custodial care facility provider in Fuquay Varina, North Carolina and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1750019725
Entity TypeIndividualFemale
Primary Taxonomy311Z00000X
Provider Legal NameLISA L MIMS
Location Address504 BURTON STFuquay Varina, NC 27526-1608
Mailing Address504 Burton StFuquay Varina, NC 27526-1608 · (919) 753-8042 · Fax (919) 762-7621
Phone(919) 753-8042
Fax(919) 762-7621
Sole ProprietorYes
Enumeration DateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1750019725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
504 BURTON ST, Fuquay Varina, NC 27526
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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 Lisa Mims's NPI number?

The NPI number for Lisa Mims is 1750019725. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Where is Lisa Mims located?

Lisa Mims practices at 504 Burton St, Fuquay Varina, NC 27526. The listed phone number is (919) 753-8042.

What is Lisa Mims's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Lisa Mims was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.