Family Foundations, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34004712A Issued in IN

Legal business name

FAMILY FOUNDATIONS, INC

Practice address

17566 Fleetwood LN
South Bend, IN 46635-1367

Phone

(574) 271-0121

NPI assigned

Nov 21, 2011

Organization subpart

No

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

Authorized official

Name

Patricia Hancock, LCSW

Title

Partner

Phone

(574) 360-2526

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1033486907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17566 FLEETWOOD LN",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17566 FLEETWOOD LN",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351367",
            "telephone_number": "574-271-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOUNDATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "574-360-2526",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34004712A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in South Bend, IN
• Providers in South Bend, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.