NPIMap

Organization Active NPI

Family Affair Care Group Management, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Greensboro, NC
National Provider Identifier
1295850519
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
FAMILY AFFAIR CARE GROUP MANAGEMENT, INC
Practice address
2302 W Meadowview Rd Ste 208
Greensboro, NC 27407-3706
Phone
(336) 274-1269
Fax
(336) 272-2387
NPI assigned
Mar 20, 2007
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Mr. Willie L GibsonNPI 1336912823
Title
President
Phone
(336) 274-1269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

2302 W Meadowview Rd Ste 208
Greensboro, NC 27407-3706

Mailing address

2302 W Meadowview Rd Ste 208
Greensboro, NC 27407-3706
Phone (336) 274-1269

National Provider Directory

National Provider Directory
Tax ID family
Family Affair Care Group Management Inc3 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1295850519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 W MEADOWVIEW RD STE 208",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073706",
            "telephone_number": "336-274-1269",
            "fax_number": "336-272-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W MEADOWVIEW RD STE 208",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073706",
            "telephone_number": "336-274-1269",
            "fax_number": "336-272-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AFFAIR CARE GROUP MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-274-1269",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.