Firm Foundation, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

FIRM FOUNDATION, INC.

Practice address

1311 Fort Bragg Rd
Fayetteville, NC 28305-4705

Phone

(910) 485-3332

Fax

(910) 485-1453

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Johnson Stiles

Title

Administrator

Phone

(910) 485-3332

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Firm Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Firm Foundation Inc.

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1114167806
  NPD tax ID

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407928633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25521",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145008",
            "telephone_number": "910-485-3332",
            "fax_number": "910-485-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054705",
            "telephone_number": "910-485-3332",
            "fax_number": "910-485-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRM FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-485-3332",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603629",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Lee Finlan, LCMHC
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• First Home Care of NC #2
• First Home Care of NC #2

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.