Family Ties Entertainment

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

FAMILY TIES ENTERTAINMENT

Practice address

11 Johnny LN
Sherwood, AR 72120

Phone

(605) 354-4772

NPI assigned

Jan 3, 2025

Last updated

Jan 3, 2025By 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. Knoa Smith

Title

Ceo/ Adult Program Facilitator

Phone

(605) 354-4772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1326857301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JOHNNY LN",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721209303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JOHNNY LN",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "72120",
            "telephone_number": "605-354-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TIES ENTERTAINMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KNOA",
        "authorized_official_title_or_position": "CEO/ ADULT PROGRAM FACILITATOR",
        "authorized_official_telephone_number": "605-354-4772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyssa C Fawbush
• Lori Leigh Fawbush, APN
• Savannah Leigh Fawbush

• Case Manager/Care Coordinator in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.