# EPIC LIFE FAMILY CARE HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073118816
- **Authorized official:** MR. GARRY TIRRELL HINGLETON (CEO)
- **Authorized official phone:** (336) 520-8233

## Contact information

- **Practice address:** 3102 BEACONWOOD DR, GREENSBORO, NC 27455-1145
- **Practice address phone:** (336) 587-7027
- **Mailing address:** 3102 BEACONWOOD DR, GREENSBORO, NC 27455-1145
- **Mailing address phone:** (336) 587-7027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 06/18/2025