Organization Active NPI

Community Outreach for Youth and Family Services of VA LLC

Doing business as American Family Care Network

  • Community/Behavioral Health Agency
  • East Point, GA
National Provider Identifier
1083015366
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY OUTREACH FOR YOUTH AND FAMILY SERVICES OF VA LLC
Doing business as
American Family Care Network
Practice address
1514 Cleveland Ave Ste 120
East Point, GA 30344-6977
Phone
(919) 423-2277
NPI assigned
Sep 5, 2014
Last updated
Sep 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Mr. Cory Tito FrancisNPI 1992533913
Title
Ceo/Owner
Phone
(919) 423-2277

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1514 Cleveland Ave Ste 120
East Point, GA 30344-6977

Mailing address

1514 Cleveland Ave Ste 120
East Point, GA 30344-6977
Phone (919) 423-2277

Other names 1

  • American Family Care Network Doing business as

National Provider Directory

National Provider Directory

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": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1083015366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 CLEVELAND AVE STE 120",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446977",
            "telephone_number": "919-423-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 CLEVELAND AVE STE 120",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446977",
            "telephone_number": "919-423-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OUTREACH FOR YOUTH AND FAMILY SERVICES OF VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "TITO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "919-423-2277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

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