PULLIAM FAMILY CARE HOME
NPI 1750501698
Custodial Care Facility - Adult Care Home in Gibsonville, NC

Active since April 25, 2007
809 W MINNEOLA ST, GIBSONVILLE, NC 27249(336) 449-5418 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pulliam Family Care Home NPPES

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

PULLIAM FAMILY CARE HOME (NPI 1750501698) is a healthcare organization registered as an adult care home in Gibsonville, North Carolina and active in the NPI registry since April 2007. The organization lists Mary Pulliam, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750501698
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NamePULLIAM FAMILY CARE HOME
Location Address809 W MINNEOLA STGibsonville, NC 27249-8880
Mailing Address809 W Minneola StGibsonville, NC 27249-8880
Organization SubpartNo
Authorized OfficialMary PulliamAdministrator · (336) 449-5418
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1750501698 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 · 041-031
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.

809 W MINNEOLA ST, Gibsonville, NC 27249

Other Identifiers 1

Medicaid7801204NC

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.

Custodial Care Facility (Adult Care Home)
809 W MINNEOLA ST
GIBSONVILLE, NC 27249
Custodial Care Facility (Adult Care Home)
809 W MINNEOLA ST
GIBSONVILLE, NC 27249

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750501698, enumerated as an "organization" on April 25, 2007.

The provider is located at 809 W MINNEOLA ST GIBSONVILLE, NC 27249 and the phone number is (336) 449-5418.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.