F.a.C. Group Homes, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

322D00000X Issued in NC

Legal business name

F.A.C. GROUP HOMES, LLC

Practice address

9485 Huckabee CT
Leland, NC 28451

Phone

(910) 264-5311

Fax

(910) 793-1226

NPI assigned

Sep 13, 2007

Last updated

Sep 19, 2007By 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

Frances Ann Covington, BSW

Title

Director

Phone

(910) 264-5311

Specialties & licenses 1

Addresses

Other names 1

• The House of Eve Other name

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1396930137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510051",
            "telephone_number": "910-264-5311",
            "fax_number": "910-793-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 HUCKABEE CT",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-264-5311",
            "fax_number": "910-793-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.A.C. GROUP HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-264-5311",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "322D00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The House of Eve",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Leland, NC
• Providers in Leland, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.