Firm Foundation Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FIRM FOUNDATION INC.

Practice address

705 Cumberland St.
Fayetteville, NC 28301-7020

Phone

(910) 485-3332

Fax

(910) 485-1453

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Charles Donald Davenport Jr.

Title

Ceo

Phone

(910) 263-1687

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Firm Foundation 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.

• Firm Foundation, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1407928633
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keona Rochelle Perry, LPCA

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1649833450
  NPD (past)

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1114167806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CUMBERLAND ST.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017020",
            "telephone_number": "910-485-3332",
            "fax_number": "910-485-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CUMBERLAND ST.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017020",
            "telephone_number": "910-485-3332",
            "fax_number": "910-485-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRM FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-263-1687",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006651",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Finkler, LCMHCA
• Jenny Lee Finlan, LCMHC
• Tonia Finocchiaro
• Fio Inc (FIO Caring Hands)
• Firm Foundation Childen Services Inc. (Riverside Childrens Home)
• Firm Foundation, Inc.
• First Choice Family and Orthopedic Urgent Care Center
• First Choice Home Care Agency
• First Fruits Behavioral Health Services
• First Home Care of NC #2

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, 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 Sep 16, 2021; 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.