Faith Homes 2

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-092-689 Issued in NC

Legal business name

FAITH HOMES 2

Practice address

1210 Riverbirch Dr
Knightdale, NC 27545-8850

Phone

(919) 266-5956

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cecilia Wambui Mucugu

Title

Administrator

Phone

(919) 279-8060

Specialties & licenses 1

Addresses

Tax ID family

Faith Homes 22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Faith Homes Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Raleigh, NC
  • NPI 1669668687
  NPD tax ID

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1295918936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40155",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276290155",
            "telephone_number": "919-279-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 RIVERBIRCH DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458850",
            "telephone_number": "919-266-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOMES 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "MUCUGU",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "WAMBUI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-279-8060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-092-689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Experiencare LLC
• Eye Care Associates OD PA
• Ezer Quality Services LLC
• Robyn Ford Ezzell, MA, LPA
• Faisal Shaikh, DDS, PA
• William Steadman Farmer, MD
• Samuel Feinberg
• Leigh Ann Fernandez, LPC
• Frank Joseph Ferritto, PA-C
• Nicole P Ficklin, SPEECH THERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.