Organization Active NPI

Family Enrichment Network Inc

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1083837140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3418255 Issued in NC
Legal business name
FAMILY ENRICHMENT NETWORK INC
Practice address
715 E 5TH St Ste 212
Charlotte, NC 28202-3001
Phone
(704) 332-6134
Fax
(704) 332-6135
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Willie A Gray
Title
Agency Administrator
Phone
(704) 332-6134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3418255 NC Primary

Addresses

Primary practice location

715 E 5TH St Ste 212
Charlotte, NC 28202-3001

Mailing address

715 E 5TH St Ste 212
Charlotte, NC 28202-3001
Phone (704) 332-6134

National Provider Directory

National Provider Directory
Tax ID family
Family Enrichment Network Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

715 E 5th St
Ste 212
Charlotte, NC 28202
Phone (704) 371-3050

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083837140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E 5TH ST STE 212",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023001",
            "telephone_number": "704-332-6134",
            "fax_number": "704-332-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E 5TH ST STE 212",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023001",
            "telephone_number": "704-332-6134",
            "fax_number": "704-332-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ENRICHMENT NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "704-332-6134",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "3418255",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; 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.