FOTI ENTERPRISES, LLC (NPI# 1205199213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205199213 |
| Entity Type | Organization |
| Organization Name | FOTI ENTERPRISES, LLC |
| Other Organization Name | LIFEWAY |
| Practice Address |
1639 Sneed Rd Shelby NC 28150-8105 |
| Practice Telephone | 7048076129 |
| Practice Fax Number | 7048024213 |
| Mailing Telephone | 7048076129 |
| Mailing Fax Number | 7048024213 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | MR. ANTHONYH FOTI SKLAVOUNAKIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7048076129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-023-181 | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Lifeway | Doing Business As Name - Organization |
| Street Address |
1639 SNEED RD |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
| 1538610878 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 540 April Dr, Shelby, NC 28152-7602 | 2016-10-21 |
| 1184175424 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 359 Holmes St, Shelby, NC 28152-8982 | 2016-10-21 |
| 1902357247 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 512 Piedmont Ave, Shelby, NC 28150-3428 | 2016-10-21 |
| 1174074413 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1812 Powerline Dr, Shelby, NC 28152-7622 | 2016-10-21 |
| 1548711880 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1810 Green Valley Dr, Shelby, NC 28152-7638 | 2016-10-21 |
| 1710438056 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1813 Green Valley Dr, Shelby, NC 28152-7639 | 2016-10-21 |
| 1407307200 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 539 April Dr, Shelby, NC 28152-7679 | 2016-10-18 |
| 1124579925 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Ross Grove Rd E, Shelby, NC 28150-3450 | 2016-10-18 |
| 1013356823 | Innovative Compliance Solutions | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 114 Ross Grove Rd, Shelby, NC 28150-2701 | 2013-06-14 |
| Find all providers in SHELBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.