Fisher Road Group Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL088021 Issued in NC

Legal business name

FISHER ROAD GROUP HOME

Practice address

120 Fisher Rd
Brevard, NC 28712-3110

Phone

(828) 884-8853

NPI assigned

Jun 5, 2015

Last updated

Jun 5, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

TRANSYLVANIA VOCATIONAL SERVICESAs reported in NPPES

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

Authorized official

Name

Nancy B Stricker

Title

Ceo

Phone

(828) 884-3195

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fisher Road Group Home3 organizations share this tax ID, including this one

Part of

Fisher Road Group Home

Other organizations with this tax ID 2

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

• Tanjer House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brevard, NC
  • NPI 1285019471
  NPD tax ID
• Transylvania Vocational Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Brevard, NC
  • NPI 1851480073
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Transylvania Vocational Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Brevard, NC
  • NPI 1851480073
  NPPES parent name

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1023498979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1115",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287121115",
            "telephone_number": "828-884-3195",
            "fax_number": "828-884-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FISHER RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123110",
            "telephone_number": "828-884-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER ROAD GROUP HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSYLVANIA VOCATIONAL SERVICES",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "STRICKER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-884-3195"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL088021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408915",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta J Ferguson, LPC
• Fernhill Pharm Inc (Gordon Family Pharmacy)
• Donald Ferrell
• Marisa D Fessler
• Kerry Noel Fincher, D.O., CAQSM
• Anthony L Fisher, MD
• Susannah Fleming, LCSW-A, LCAS-A
• Fletcher Hospital Inc (Adventhealth Southeastern Orthopedics and Spine at Brevard)
• Kara Haines Flint, DACM
• Sherrie Dianne Flory, DPT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brevard, NC
• Providers in Brevard, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.