FAMILY HOMECARE SERVICES INC — NPI 1639329709 (Licensed & Credentialed Custodial Care Facility in PEACHLAND, NC)

CMS-1500 Box 24J / 33a • NPI

1639329709

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

311Z00000X

Licensed & Credentialed Custodial Care Facility

Box 32 Service Location & ZIP+4

215 SCHOOL ST, PEACHLAND, NC, 28133-8316

✓ 9-Digit EDI 837 ZIP+4 (28133-8316)

Practice Phone & Referral Fax

(704) 272-7068

Fax: (704) 272-7098

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1639329709 (FAMILY HOMECARE SERVICES INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1639329709` (NPI-2 Organization / Facility)
Provider / Legal Name	FAMILY HOMECARE SERVICES INC
Plain-English Specialty	Licensed & Credentialed Custodial Care Facility NUCC Code: `311Z00000X` (Custodial Care Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	215 SCHOOL ST, PEACHLAND, NC, 28133-8316
Practice Telephone / Fax	Tel: (704) 272-7068 \| Fax: (704) 272-7098
Administrative Mailing Address	219 N MAIN ST, TROY, NC, 27371-3015
Enumeration & Last Sync	Enumerated: 2008-09-25 \| CMS Record Updated: 2008-09-25
Authorized Official	TEGA BURNS (DIRECTOR)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

215 SCHOOL ST, PEACHLAND, NC, 28133-8316

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Plain-English Taxonomy & CMS Crosswalk (311Z00000X)

What Does Taxonomy Code 311Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 311Z00000X translates to:
"Licensed & Credentialed Custodial Care Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Custodial Care Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (FAMILY HOMECARE SERVICES INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`311Z00000X` — Custodial Care Facility Plain English: Licensed & Credentialed Custodial Care Facility	State: NC \| License: `061143` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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FAMILY HOMECARE SERVICES INC (NPI #1639329709)