NPIMap

Organization Active NPI

Family Focused, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Wilmington, NC
National Provider Identifier
1174664528
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
065-160 Issued in NC
Legal business name
FAMILY FOCUSED, LLC
Practice address
2415 Brodick CT
Wilmington, NC 28411-6168
Phone
(910) 792-6138
NPI assigned
Feb 9, 2007
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Mrs. Michele Denise Morse, BS, QP
Title
Executive Director
Phone
(910) 763-3073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 065-160 NC Primary

Addresses

Primary practice location

2415 Brodick CT
Wilmington, NC 28411-6168

Mailing address

7414 Treyburn Dr
Wilmington, NC 28411-7351
Phone (910) 527-7881

Other identifiers 2

IdentifierTypeStateIssuer
3404933MedicaidNC
6604096MedicaidNC

Other names 1

  • Family Focused, LLC @Treyburn Court Other name

National Provider Directory

National Provider Directory
Tax ID family
Family Focused LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1174664528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 TREYBURN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117351",
            "telephone_number": "910-527-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BRODICK CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116168",
            "telephone_number": "910-792-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOCUSED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-763-3073",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, QP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "065-160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404933",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Focused, LLC @Treyburn Court",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.