Active NPI
Flying Start Creative Expressions Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- High Point, NC
National Provider Identifier
1427341858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- MHL0411011
- Legal business name
- FLYING START CREATIVE EXPRESSIONS INC.
- Doing business as
- FSCE
- Practice address
- 1204 Sternly Way
High Point, NC 27260-8498 - Phone
- (336) 471-5973
- NPI assigned
- May 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shenika Lashun Fuller
- Title
- President / Ceo
- Phone
- (336) 471-5973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL0411011 | NC | Primary |
Addresses
Primary practice location
1204 Sternly Way
High Point, NC 27260-8498
Mailing address
1204 Sternly Way
High Point, NC 27260-8498
Phone (336) 471-5973
Other names 1
- FSCE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305676800000",
"number": "1427341858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 STERNLY WAY",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272608498",
"telephone_number": "336-471-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 STERNLY WAY",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272608498",
"telephone_number": "336-471-5973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLYING START CREATIVE EXPRESSIONS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "SHENIKA",
"authorized_official_middle_name": "LASHUN",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "336-471-5973",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL0411011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FSCE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.