Organization Active NPI

Family Advantage LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Scotland Neck, NC
National Provider Identifier
1386819720
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FAMILY ADVANTAGE LLC
Practice address
289 Wade Rd
Scotland Neck, NC 27874-8957
Phone
(252) 826-0429
Fax
(252) 826-0449
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Mr. Willie James Gilchrist II
Title
Ceo
Phone
(252) 536-0600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Child Mental Illness Respite Care 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

289 Wade Rd
Scotland Neck, NC 27874-8957

Mailing address

289 Wade Rd
Scotland Neck, NC 27874-8957
Phone (252) 536-0600

Other practice location 1

3104 US Highway 301
Pleasant Hill, NC 27866-9693
Phone (252) 536-2322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1386819720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 WADE RD",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278748957",
            "telephone_number": "252-536-0600",
            "fax_number": "252-826-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WADE RD",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278748957",
            "telephone_number": "252-826-0429",
            "fax_number": "252-826-0449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3104 US Highway 301",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "NC",
            "postal_code": "278669693",
            "country_code": "US",
            "telephone_number": "252-536-2322",
            "fax_number": "252-826-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-536-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotland Neck, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.