NPIMap

Organization Active NPI

Institute for Family Centered Services

  • Early Intervention Provider Agency
  • Winston Salem, NC
National Provider Identifier
1003236050
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
10443A Issued in NC
Legal business name
INSTITUTE FOR FAMILY CENTERED SERVICES
Practice address
4035 University Pkwy
Suite 101
Winston Salem, NC 27106-3276
Phone
(336) 397-1563
NPI assigned
Apr 17, 2014
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacey Inman, LCASNPI 1649301573
Title
Program Manager
Phone
(336) 561-1268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 10443A NC Primary

Addresses

Primary practice location

4035 University Pkwy
Suite 101
Winston Salem, NC 27106-3276

Mailing address

4035 University Pkwy
Suite 101
Winston Salem, NC 27106-3276
Phone (336) 397-1563

National Provider Directory

National Provider Directory
Tax ID family
Arizona Mentor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4035 University Pkwy
Ste 101
Winston Salem, NC 27106
Phone (336) 397-1560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1003236050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 UNIVERSITY PKWY",
            "address_2": "SUITE 101",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063276",
            "telephone_number": "336-397-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 UNIVERSITY PKWY",
            "address_2": "SUITE 101",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063276",
            "telephone_number": "336-397-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR FAMILY CENTERED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "336-561-1268",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": "10443A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.