Active NPI
Family and Community Resources, Inc
- Community/Behavioral Health Agency
- Farmville, NC
National Provider Identifier
1134326143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FAMILY AND COMMUNITY RESOURCES, INC
- Practice address
- 3707 N Main St
Suite H
Farmville, NC 27828-1486 - Phone
- (252) 753-5100
- NPI assigned
- Jul 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Kimyatta Anderson, LCSW
- Title
- Clinical Director
- Phone
- (252) 753-5100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3707 N Main St
Suite H
Farmville, NC 27828-1486
Mailing address
PO Box 4204
Greenville, NC 27836-2204
Phone (252) 753-5100
National Provider Directory
National Provider Directory- Tax ID family
- Family and Community Resources Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Tarboro, NC
- NPI 1245543420
Locations
3707 North Main St
Ste H
Farmville, NC 27828
Phone (252) 753-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1134326143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4204",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278362204",
"telephone_number": "252-753-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 N MAIN ST",
"address_2": "SUITE H",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278281486",
"telephone_number": "252-753-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY AND COMMUNITY RESOURCES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "KIMYATTA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "252-753-5100",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.