Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Family Care Home #4

Organization Adult Care Home Facility · NPI 1841319746

Jefferson Family Care Home #4 is an Adult Care Home Facility in Yanceyville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

181 Staley Boswell Rd
Yanceyville, NC 27379-8386
Phone: (336) 421-9468
Fax: (336) 421-5726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X (NC)

Record details

NPI number1841319746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melinda Jefferson — Owner · (336) 421-9468
NPI enumeratedMarch 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address181 Staley Boswell Rd, Yanceyville, NC 27379-8386

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