KIRBY FALLS COMMUNITY DEVELOPMENT (NPI# 1740486505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740486505 |
| Entity Type | Organization |
| Organization Name | KIRBY FALLS COMMUNITY DEVELOPMENT |
| Practice Address |
7001 Corfu Pl Wendell NC 27591-6720 |
| Practice Telephone | 9193669181 |
| Practice Fax Number | 9193661090 |
| Mailing Telephone | 9193669181 |
| Mailing Fax Number | 9193661090 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | MRS. MICHELLE KIRBY (OWNER) |
| Authorized Official Telephone | 9193669181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL-092552 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804885 | 05 |
| Street Address |
7001 CORFU PL |
| City | WENDELL |
| State | NC |
| Zip Code | 27591-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730211392 | Corfu Group Home | Custodial Care Facility | 7001 Corfu Pl, Wendell, NC 27591-6720 | 2007-03-09 |
| 1750589958 | Kirby Falls Commnity Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7001 Corfu Pl, Wendell, NC 27591-6720 | 2007-07-10 |
| 1932231354 | Corfu Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7001 Corfu Pl, Wendell, NC 27591-6720 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054872 | Monarch | Community/Behavioral Health | 1245 Hawks Perch Way, Wendell, NC 27591 | 2019-10-14 |
| 1922500792 | New Stone Helath Group Inc | Nurse Practitioner | 7408 Seimans Dr, Wendell, NC 27591 | 2018-03-07 |
| 1801235635 | Altruist Home Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Mangums Drive, Wendell, NC 27591 | 2013-06-14 |
| 1902118243 | Rsi Medical Family Practice | Non-Pharmacy Dispensing Site | 2600 Hwy 97, Wendell, NC 27591 | 2010-07-01 |
| 1366618514 | Merlin W Young Dds Pa | Dentist | 3111 Wendell Blvd, Wendell, NC 27591 | 2008-05-07 |
| 1548449366 | Betty Maria Culver | Custodial Care Facility | 7309 Hunt Valley Trail, Wendell, NC 27591 | 2007-10-29 |
| 1639364227 | Wendell Medical Center Pa | Family Medicine | 217 Cook Street, Wendell, NC 27591 | 2007-09-07 |
| 1508982695 | Hollybrook Care Facility | Custodial Care Facility | 130 Harris Street, Wendell, NC 27591 | 2007-03-21 |
| 1528138443 | Merlin W Young | Dentist | 3111 Wendell Boulevard, Wendell, NC 27591 | 2006-11-08 |
| 1366525149 | Vardy Chiropractic and Wellness Clinics | Massage Therapist | 2825 Wendell Blvd., Wendell, NC 27591 | 2006-10-23 |
| Find all providers in zip 27591 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548449366 | Betty Maria Culver | Custodial Care Facility | 7309 Hunt Valley Trail, Wendell, NC 27591 | 2007-10-29 |
| 1508982695 | Hollybrook Care Facility | Custodial Care Facility | 130 Harris Street, Wendell, NC 27591 | 2007-03-21 |
| 1326162363 | Marys Manor | Custodial Care Facility | 228 Gailridge Ln, Wendell, NC 27591-7901 | 2007-03-16 |
| 1730211392 | Corfu Group Home | Custodial Care Facility | 7001 Corfu Pl, Wendell, NC 27591-6720 | 2007-03-09 |
| 1295083467 | Bakers Family Care Home #2 | Custodial Care Facility | 7112 Outrigger Dr, Wendell, NC 27591-7240 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.