WHITE STORE FAMILY CARE HOME
NPI 1871642413
Clinic/Center in Monroe, NC

Q: What is Willie Evans's NPI number?

The NPI number for Willie Evans is 1871642413. It was assigned to this organization in the NPPES registry on January 10, 2007. The provider is doing business as White Store Family Care Home.

Q: What is Willie Evans's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Willie Evans was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 10, 2007

2101 WHITE STORE RD, MONROE, NC 28112(704) 292-5162(704) 282-4142 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About White Store Family Care Home NPPES

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

WHITE STORE FAMILY CARE HOME (NPI 1871642413) is a healthcare organization registered as a clinic/center in Monroe, North Carolina and active in the NPI registry since January 2007. The organization lists Willie Evans, Owner, as its authorized official.

NPPES Registry Identity

NPI1871642413

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameWILLIE EVANS

Location Address2101 WHITE STORE RDMonroe, NC 28112-8733

Mailing Address2101 White Store RdMonroe, NC 28112-8733 · (704) 292-5162 · Fax (704) 282-4142

Phone(704) 292-5162

Fax(704) 282-4142

Organization SubpartNo

Authorized OfficialWillie EvansOwner · (704) 296-5162

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJune 26, 2008

✔ NPI 1871642413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in NC · FCL090012

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2101 WHITE STORE RD, Monroe, NC 28112

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Other Names 1

Doing Business AsWhite Store Family Care Home

Other Identifiers 1

Medicaid7802668NC

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 Willie Evans's NPI number?

The NPI number for Willie Evans is 1871642413. It was assigned to this organization in the NPPES registry on January 10, 2007. The provider is doing business as White Store Family Care Home.

Where is Willie Evans located?

Willie Evans is located at 2101 White Store Rd, Monroe, NC 28112. The listed phone number is (704) 292-5162.

What is Willie Evans's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Willie Evans was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.