Foti Enterprises, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-023-181 Issued in NC

Legal business name

FOTI ENTERPRISES, LLC

Doing business as

Lifeway

Practice address

1639 Sneed Rd
Shelby, NC 28150-8105

Phone

(704) 807-6129

Fax

(704) 802-4213

NPI assigned

Jun 25, 2012

Last updated

Jun 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthonyh Foti Sklavounakis

Title

Executive Director

Phone

(704) 807-6129

Specialties & licenses 1

Addresses

Other names 1

• Lifeway Doing business as

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1205199213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 SNEED RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281508105",
            "telephone_number": "704-807-6129",
            "fax_number": "704-802-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 SNEED RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281508105",
            "telephone_number": "704-807-6129",
            "fax_number": "704-802-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOTI ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "SKLAVOUNAKIS",
        "authorized_official_first_name": "ANTHONYH",
        "authorized_official_middle_name": "FOTI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-807-6129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-023-181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foothills Podiatry PA
• Footprints Carolina Inc
• Andrea Kristina Foretnberry
• Lyndi Sullens Forrest, APRN-BC MSN
• Fortress Behavioral Services Inc
• Collette R Fox, MLP
• Victoria Fox, D.C.
• Marie Celeste Franklin, MA, LPCA-A, NCC
• Richard Clifton Franklin, MD
• Robbie Freeman, DC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Shelby, NC
• Providers in Shelby, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.