Organization Active NPI

Carolina Family Network & Therapeutic SVC

  • Case Management Agency
  • Gastonia, NC
National Provider Identifier
1366620684
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CAROLINA FAMILY NETWORK & THERAPEUTIC SVC
Practice address
311 S Willow St
Gastonia, NC 28054-4453
Phone
(704) 865-9005
NPI assigned
Feb 8, 2008
Organization subpart
Yes
Parent organization
CAROLINA TOTAL CARE SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Mr. Wayne L Burch Sr., MASTER
Title
Ceo
Phone
(704) 345-2032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC Primary

Addresses

Primary practice location

311 S Willow St
Gastonia, NC 28054-4453

Mailing address

311 S Willow St
Gastonia, NC 28054-4453
Phone (704) 923-9005

National Provider Directory

National Provider Directory
Part of
Carolina Total Care Services Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1366620684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S WILLOW ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544453",
            "telephone_number": "704-923-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S WILLOW ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544453",
            "telephone_number": "704-865-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY NETWORK & THERAPEUTIC SVC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA TOTAL CARE SERVICES, INC",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-345-2032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MASTER"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.