FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC FLAT ROCK MIDDLE


Address: 191 Preston Ln, East Flat Rock, NC 28726-2865
Phone: 7043440491

FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC FLAT ROCK MIDDLE (NPI# 1871873422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871873422
Entity Type Organization
Organization Name FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC FLAT ROCK MIDDLE
Practice Address 191 Preston Ln
East Flat Rock
NC 28726-2865
Mailing Address Po Box 759194
Baltimore
MD 21275-9194
Practice Telephone 7043440491
Practice Fax Number 7043440493
Mailing Telephone 8282253100
Mailing Fax Number 8282253604
Enumeration Date 2011-08-26
Last Update Date 2018-12-04
Authorized Official Name PAMELA L FREELEY (NC BILLING SYSTEM SUPERVISOR)
Authorized Official Telephone 7043440491
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 8302950R 05
NC 8303416R 05

Office Location

Street Address 191 PRESTON LN
City EAST FLAT ROCK
State NC
Zip Code 28726-2865

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174827398 Kelly Roberts Wiggen Orthotic Fitter 107 East Walker Street, East Flat Rock, NC 28726 2011-01-03
1801028378 Michael Weston Huskey Orthotist 107 East Walker St., East Flat Rock, NC 28726 2009-08-18
1821266230 Brian Lynn Wiggen II II Orthotist 107 East Walker St, East Flat Rock, NC 28726 2008-02-19
1013543446 Tia Nicole Rudisill Home Health Aide 82 Johnnie Washington Dr, East Flat Rock, NC 28726-0280 2020-03-17
1740310051 Vocational Solutions of Henderson County Day Training, Developmentally Disabled Services 2110 Spartanburg Hwy, East Flat Rock, NC 28726-2135 2007-03-06
1518331883 Michael James Tui II Counselor 128 Upward Acres St, East Flat Rock, NC 28726-2234 2015-11-24
1447276639 Footlogic, Inc. Specialist 107 E Walker St, East Flat Rock, NC 28726-2235 2006-07-14
1770130551 Level Four Orthotics and Prosthetics Prosthetic/Orthotic Supplier 107 E Walker St, East Flat Rock, NC 28726-2235 2019-08-26
1710221197 Western Carolina O & P Prosthetic/Orthotic Supplier 107 E Walker St, East Flat Rock, NC 28726-2235 2012-11-26
1871125088 Amy Bracken, Pllc Occupational Therapist 212 S Hillandale Dr, East Flat Rock, NC 28726-2610 2020-02-05
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174121438 Curtis Wayne Royal Community/Behavioral Health 1407 Groveland Trl, Greensboro, NC 27407-5061 2020-10-09
1578178588 Emmanuel Homecare, Inc. Community/Behavioral Health 12551 Hashanli Pl, Matthews, NC 28105-3401 2020-09-15
1336753284 Transformation Health Services Inc. Community/Behavioral Health 2023 Connonade Dr, Waxhaw, NC 28173-0109 2020-09-08
1053925099 Essential Pathways Counseling and Consulting, Pllc Community/Behavioral Health 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 2020-09-08
1720692833 Tgh Phase 2 Community/Behavioral Health 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 2020-09-04
1669086948 October Road, Inc. Community/Behavioral Health 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 2020-09-03
1225640188 Flovi of Nc Inc. Community/Behavioral Health 1916 Sunset Ave, Rocky Mount, NC 27804-2520 2020-08-20
1275145658 Next Level Counseling, Pllc Community/Behavioral Health Tele-therapy Only, Cary, NC 27511 2020-08-18
1023628872 Jonathan Mccrary Community/Behavioral Health 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 2020-08-06
1841809746 Ryan's Place, LLC Community/Behavioral Health 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 2020-07-27
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Competitor

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City EAST FLAT ROCK
Zip Code 28726

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Dataset Information

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.

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