FAMILY AFFAIR CARE GROUP MANAGEMENT, INC. (NPI# 1942353321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942353321 |
| Entity Type | Organization |
| Organization Name | FAMILY AFFAIR CARE GROUP MANAGEMENT, INC. |
| Practice Address |
6113 Blue Lantern Rd Gibsonville NC 27249-8737 |
| Mailing Address |
1012 Gregory St Greensboro NC 27403-3029 |
| Practice Telephone | 3364435690 |
| Practice Fax Number | 3364495690 |
| Mailing Telephone | 3368567991 |
| Mailing Fax Number | 3368567994 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | MR. EMERSON ROARY GIBSON (PRESIDENT) |
| Authorized Official Telephone | 3368567991 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY AFFAIR CARE GROUP MANAGEMENT, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 3406564 | NC | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770782120 | Family Affair Care Group Management, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1012 Gregory St, Greensboro, NC 27403-3029 | 2007-07-16 |
| Street Address |
6113 BLUE LANTERN RD |
| City | GIBSONVILLE |
| State | NC |
| Zip Code | 27249-8737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326372020 | Special Care | Intermediate Care Facility, Mental Illness | 6113 Blue Lantern Rd, Gibsonville, NC 27249-8737 | 2009-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758734 | Kirby J. Ransom Dmd Pa II | Dentist | 408 Burlington Ave, Gibsonville, NC 27249-0198 | 2008-01-08 |
| 1962585034 | David Anthony Roberts | Dentist | 408 Burlington Street, Gibsonville, NC 27249-0348 | 2006-10-23 |
| 1265780035 | Home Meadows Services LLC | Assisted Living Facility | 605 Whitsett Ave, Gibsonville, NC 27249-2042 | 2012-08-27 |
| 1083033716 | Union Avenue Group Home II | Custodial Care Facility | 605 Whitsett Ave, Gibsonville, NC 27249-2042 | 2014-04-09 |
| 1023399292 | Chavis Manor, LLC | Assisted Living Facility | 204 Circle Dr, Gibsonville, NC 27249-2310 | 2011-09-01 |
| 1356578470 | Smith Works Pharmacy Inc | Pharmacy | 235 Burke St, Gibsonville, NC 27249-2402 | 2009-06-16 |
| 1275015554 | Haleigh Cooper | Chiropractor | 107 Lewis St, Gibsonville, NC 27249-2436 | 2018-09-03 |
| 1730663733 | Community First Chiropractic Pllc | Chiropractor | 107 Lewis St, Gibsonville, NC 27249-2436 | 2018-09-17 |
| 1801913140 | Gayle Renee Compton | Speech-Language Pathologist | 111 Piedmont Ave, Gibsonville, NC 27249-2450 | 2007-03-23 |
| 1568661411 | Marella Phillips | Social Worker | 111 Piedmont Ave, Gibsonville, NC 27249-2450 | 2007-07-12 |
| Find all providers in zip 27249 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
| 1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
| 1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
| 1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
| 1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
| Find all providers with the same taxonomy | ||||
| City | GIBSONVILLE |
| Zip Code | 27249 |
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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.