Family Service Corporation, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

CM 6901 Issued in LA

Legal business name

FAMILY SERVICE CORPORATION, INC.

Practice address

1425 Lynn St # a
Thibodaux, LA 70301-4416

Phone

(985) 448-3454

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brian Peter Jakes Sr., BFA

Title

Ceo

Phone

(985) 974-1862

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FSC, Inc. Other name

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1205029840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 LYNN ST # A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014416",
            "telephone_number": "985-448-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 LYNN ST # A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014416",
            "telephone_number": "985-448-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "JAKES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-974-1862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BFA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "CM 6901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714267",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSC, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sabrina Falgoust
• Luke Joseph Falgout
• Madisen Amato Falgout, FNP-C
• Family Doctor Clinic DRS Harris & Magee a Medical Corporation
• Family Doctor Clinic DRS Harris & Magee a Medical Corporation
• Catherine Spears Fangue, N.P.
• Abbey Bourgeois Fanguy, FNP-C
• Brett John Faucheaux, LPC, LMFT
• Christopher Thomas Ferguson, PHARMD
• Wilson Ferguson III, MS

• Case Management Agency in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Case Management Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.