NPIMap

Organization Active NPI

Family Preservation Services of North Carolina Inc

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1013049485
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA INC
Practice address
4601 Park Rd
Suite 400
Charlotte, NC 28209-3239
Phone
(704) 344-0491
Fax
(704) 344-0493
NPI assigned
Mar 12, 2007
Organization subpart
Yes
Parent organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Miranda Little
Title
Regional Director
Phone
(704) 344-0491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4601 Park Rd
Suite 400
Charlotte, NC 28209-3239

Mailing address

PO Box 759194
Baltimore, MD 21275-9194
Phone (704) 344-0491

Other identifiers 1

IdentifierTypeStateIssuer
8300284GMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Family Preservation Services of NC Inc - Vance Henderson Middle88 organizations share this tax ID, including this one
Part of
Family Preservation Services of NC Inc - Vance Henderson Middle

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4601 Park Rd
Ste 400
Charlotte, NC 28209
Phone (704) 344-0493

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1013049485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759194",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212759194",
            "telephone_number": "704-344-0491",
            "fax_number": "704-344-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093239",
            "telephone_number": "704-344-0491",
            "fax_number": "704-344-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESERVATION SERVICES OF NORTH CAROLINA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "704-344-0491"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300284G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.