JEFFERSON FAMILY CARE HOME #4
NPI 1841319746
Custodial Care Facility - Adult Care Home in Yanceyville, NC

Q: What is Jefferson Family Care Home #4's NPI number?

The NPI number for Jefferson Family Care Home #4 is 1841319746. It was assigned to this organization in the NPPES registry on March 29, 2007.

Q: What is Jefferson Family Care Home #4's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since March 29, 2007

181 STALEY BOSWELL RD, YANCEYVILLE, NC 27379(336) 421-9468(336) 421-5726 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jefferson Family Care Home #4 NPPES

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

JEFFERSON FAMILY CARE HOME #4 (NPI 1841319746) is a healthcare organization registered as an adult care home in Yanceyville, North Carolina and active in the NPI registry since March 2007. The organization lists Melinda Jefferson, Owner, as its authorized official.

NPPES Registry Identity

NPI1841319746

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameJEFFERSON FAMILY CARE HOME #4

Location Address181 STALEY BOSWELL RDYanceyville, NC 27379-8386

Mailing Address181 Staley Boswell RdYanceyville, NC 27379-8386 · (336) 421-9468 · Fax (336) 421-5726

Phone(336) 421-9468

Fax(336) 421-5726

Organization SubpartNo

Authorized OfficialMelinda JeffersonOwner · (336) 421-9468

Enumeration DateMarch 29, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1841319746 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

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.

181 STALEY BOSWELL RD, Yanceyville, NC 27379

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Other Identifiers 1

Medicaid7802011NC

Other Providers at the Same Location NPPES

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

JEFFERSON CARE HOME

Custodial Care Facility (Adult Care Home)

181 STALEY BOSWELL RD
YANCEYVILLE, NC 27379

Caswell County (336) 421-9468

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 Jefferson Family Care Home #4's NPI number?

The NPI number for Jefferson Family Care Home #4 is 1841319746. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Jefferson Family Care Home #4 located?

Jefferson Family Care Home #4 is located at 181 Staley Boswell Rd, Yanceyville, NC 27379. The listed phone number is (336) 421-9468.

What is Jefferson Family Care Home #4'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 Jefferson Family Care Home #4 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.