Family Healthcare, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APN6245 Issued in TN

Legal business name

FAMILY HEALTHCARE, LLC

Practice address

1321 McArthur St Ste a
Manchester, TN 37355-2425

Phone

(931) 728-0772

Fax

(931) 728-0444

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Rhonda Dycus

Title

Practice Manager

Phone

(931) 728-0772

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bridget Odonnell George, APN

  • Family Nurse Practitioner
  • Manchester, TN
  • NPI 1760448245
  Medicare reassignment Care Compare group
• Rachel Rollins, APN

  • Family Medicine Physician
  • Manchester, TN
  • NPI 1679000988
  Medicare reassignment Care Compare group
• Jay Michael Trussler, DO

  • Family Medicine Physician
  • Manchester, TN
  • NPI 1578590725

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1295930089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MCARTHUR ST STE A",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552425",
            "telephone_number": "931-728-0772",
            "fax_number": "931-728-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MCARTHUR ST STE A",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552425",
            "telephone_number": "931-728-0772",
            "fax_number": "931-728-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "DYCUS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "931-728-0772"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN6245",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN5896",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "DO1634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Extended Family Care LLC
• Nathan Eylander
• F&B Enterprises, LLC
• Aleene Marie Falk
• Family Counseling Center of Middle Tennessee, Inc
• Caroline Elizabeth Farmer-Liles
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Meredith Fetterman, FNP-C

• Primary Care Clinic/Center in Manchester, TN
• Providers in Manchester, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.