Family Care Center Clinic

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

3109 Issued in KY

Legal business name

FAMILY CARE CENTER CLINIC

Practice address

1135 Red Mile PL
Lexington, KY 40504-1172

Phone

(859) 288-4097

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Tom Young, M.D

Title

Medical Center Director

Phone

(859) 288-4057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1154579050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 RED MILE PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041172",
            "telephone_number": "859-288-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 RED MILE PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041172",
            "telephone_number": "859-288-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CENTER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MEDICAL CENTER DIRECTOR",
        "authorized_official_telephone_number": "859-288-4057",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "KY",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Dawn Falls, ARNP
• Emma Tala Sophia Falluji
• Reem Kasim Falluji, M.D.
• Maged D. Fam, MD
• Families Hope, LLC
• Family Counseling Service
• Family Counseling Service
• Family First Vision Care Kentucky, LLC
• Family First Vision Care Kentucky, LLC
• Family Home Health Care LLC

• All providers in Lexington, KY
• Adolescent and Children Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.