Flynn Christian Fellowship Home

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

MHL096244 Issued in NC

Legal business name

FLYNN CHRISTIAN FELLOWSHIP HOME

Practice address

409 N George St
Goldsboro, NC 27530-2723

Phone

(919) 736-1718

Fax

(919) 734-0541

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Robert House

Title

Ceo/Chairman of the Board

Phone

(919) 736-1718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1053677294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N GEORGE ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275302723",
            "telephone_number": "919-736-1718",
            "fax_number": "919-734-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N GEORGE ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275302723",
            "telephone_number": "919-736-1718",
            "fax_number": "919-734-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYNN CHRISTIAN FELLOWSHIP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO/CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "919-736-1718"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL096244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Fivek, MS
• Michelle Renee Fleck, FNP-C
• Diane Elizabeth Fleetwood, OTR-L
• Katherine Elizabeth Fletcher, MS, RD, LDN
• Pamela T Flood, PTA
• Joseph P Flynn, DO
• Foot Faults PC
• Elizabeth Forcellini
• John Erskine Ford, PHD
• Patryce Mercedes Ford

• Substance Abuse Rehabilitation Facility in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.