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

Lisa L Mims

Individual provider Adult Care Home Facility · NPI 1750019725

Lisa L Mims is an Adult Care Home Facility in Fuquay Varina, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

504 Burton St
Fuquay Varina, NC 27526-1608
Phone: (919) 753-8042
Fax: (919) 762-7621
Show map & directions

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

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X
Adult Care Home Facility Taxonomy 311ZA0620X

Record details

NPI number1750019725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

Other providers in Fuquay Varina