Family Care Health and Wellness Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY CARE HEALTH AND WELLNESS CENTER, INC.

Practice address

1430 Hsa LN
Winston Salem, NC 27101-2048

Phone

(336) 723-9002

Fax

(336) 722-3780

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Leigh Smith

Title

Office Manager

Phone

(336) 723-9002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1114921137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HSA LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012048",
            "telephone_number": "336-723-9002",
            "fax_number": "336-722-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HSA LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012048",
            "telephone_number": "336-723-9002",
            "fax_number": "336-722-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HEALTH AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-723-9002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890162K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Irene Faller, DO
• Joshua Howard Fallin, LAT, ATC
• Nicole Marie Fama, MD
• Alisha Lynn Famiglietti, PA-C
• Family Behavioral Health, PLLC
• Family Care of Winston-Salem, PA
• Family Preservation Services of NC, Inc - Old Town Elementary
• Family Preservation Services of NC, Inc.
• Family Preservation Services of NC, Inc.
• Family Preservation Services of NC, Inc.

• Family Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.