Family Adult Sitting Services, (Fass),LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAMILY ADULT SITTING SERVICES, (FASS),LLC

Doing business as

Fass

Practice address

112 Henderson Ave
Panama City, FL 32401

Phone

(850) 358-6175

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Dominique N Woullard

Title

Ceo

Phone

(850) 358-6175

Specialties & licenses 2

Addresses

Other names 1

• FASS Doing business as

Locations

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1265015929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 S HIGHWAY 77 UNIT 1824",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324447773",
            "telephone_number": "850-358-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HENDERSON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32401",
            "telephone_number": "850-358-6175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1992 Lewis Turner Blvd Ste 2078",
            "address_purpose": "LOCATION",
            "city": "Ft Walton Bch",
            "state": "FL",
            "postal_code": "325471255",
            "country_code": "US",
            "telephone_number": "850-358-6175",
            "fax_number": "850-358-6174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY ADULT SITTING SERVICES, (FASS),LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "WOULLARD",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-358-6175"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FASS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FASS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Lynn Faint, RPH
• Miah Michel Faircloth, B.S.
• Savannah Faircloth, BCBA
• Jeantte Falls
• Families First of Florida
• Family First of Bay County Inc
• Wael Farid, MD
• Audrey Ann Farr, ARNP
• Bethany Farris, M.S.
• Jeannie Farris, APRN

• Home Health Agency in Panama City, FL
• Providers in Panama City, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.