Organization Active NPI

Flying Start Creative Expressions Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • High Point, NC
National Provider Identifier
1427341858
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL0411011 Issued in NC
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

Updated by the provider on May 18, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.