OrganizationActive
Community Care Home
NPI 1124493945 · Adult Care Home Facility · Burlington, NC
Provider details
- NPI number
- 1124493945
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Hazel Spruill, Owener(336) 350-2690
- License
- FCL-001-162 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1104 S Church St
Burlington, NC 27215-5048
Phone: (336) 350-8295
Street-level locationGet directions
Mailing address
1104 S Church St
Burlington, NC 27215-5048
Registry dates
- Enumerated
- 2015-12-04
- Last updated
- 2015-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.