FAMILY AFFAIR CARE GROUP MANAGEMENT, INC. (NPI# 1770782120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770782120 |
| Entity Type | Organization |
| Organization Name | FAMILY AFFAIR CARE GROUP MANAGEMENT, INC. |
| Practice Address |
1012 Gregory St Greensboro NC 27403-3029 |
| Practice Telephone | 3368567991 |
| Mailing Telephone | 3368567991 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Authorized Official Name | MR. EMERSON R. GIBSON (PRESIDENT) |
| Authorized Official Telephone | 3368567991 |
| 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 | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942353321 | Family Affair Care Group Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6113 Blue Lantern Rd, Gibsonville, NC 27249-8737 | 2007-01-19 |
| Street Address |
1012 GREGORY ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295850519 | Family Affair Care Group Management, Inc | Custodial Care Facility | 1012 Gregory St, Greensboro, NC 27403-3029 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| 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 |
|---|---|---|---|---|
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1922555671 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3200 Bernard St, Greensboro, NC 27405-3724 | 2016-09-09 |
| 1134599590 | Moravian Family Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2905 Holmes Rd, Greensboro, NC 27405-4621 | 2015-09-29 |
| 1407230469 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4449 Burlington Rd, Lot 29, Greensboro, NC 27405-8683 | 2015-07-18 |
| 1982087458 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3908 Bluestem Dr, Greensboro, NC 27405-8251 | 2015-07-02 |
| 1649684374 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 181 Big Oak Trail, Greensboro, NC 27214 | 2014-06-20 |
| 1831503523 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Herman Gist Rd, Greensboro, NC 27401-4799 | 2014-06-20 |
| 1336571603 | Wescare Professional Services, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1311 Gorrell St, Greensboro, NC 27401-3507 | 2013-08-08 |
| 1962840900 | Wescare Professional Services, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1309 Gorrell St, Greensboro, NC 27401-3507 | 2013-06-12 |
| 1497193403 | Wescare Professional Services, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2204 Oakmont Ct, Greensboro, NC 27407-6076 | 2013-06-12 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
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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.