NPIMap

Organization Active NPI

F.a.C.T. Specialized Services, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, NC
National Provider Identifier
1417071069
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL067140 Issued in NC
Legal business name
F.A.C.T. SPECIALIZED SERVICES, INC.
Practice address
127 Center St
Jacksonville, NC 28546-5708
Phone
(910) 346-3744
Fax
(910) 346-5344
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lorna Kathleen Aschbrenner
Title
Director of Operations
Phone
(910) 346-3744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL067140 NC Primary

Addresses

Primary practice location

127 Center St
Jacksonville, NC 28546-5708

Mailing address

127 Center St
Jacksonville, NC 28546-5708
Phone (910) 346-3744

Other identifiers 1

IdentifierTypeStateIssuer
8300857MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Fact Specialized Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

127 Center St
Jacksonville, NC 28546
Phone (910) 219-8000

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417071069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CENTER ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465708",
            "telephone_number": "910-346-3744",
            "fax_number": "910-346-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CENTER ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465708",
            "telephone_number": "910-346-3744",
            "fax_number": "910-346-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.A.C.T. SPECIALIZED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASCHBRENNER",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "910-346-3744"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL067140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300857",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • 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.