Extended Families of N. C., LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EXTENDED FAMILIES OF N. C., LLC

Practice address

400 S Water St
Suite 100
Elizabeth City, NC 27909-4965

Phone

(252) 335-1478

Fax

(252) 335-2875

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cassandra Clyde Houston

Title

Ceo/ Owner

Phone

(252) 335-1478

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1093982282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2661",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279062661",
            "telephone_number": "252-335-1478",
            "fax_number": "252-335-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S WATER ST",
            "address_2": "SUITE 100",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094965",
            "telephone_number": "252-335-1478",
            "fax_number": "252-335-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILIES OF N. C., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "CLYDE",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "252-335-1478",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.