Nova Family Life Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NOVA FAMILY LIFE SERVICES

Practice address

6454 Rutherglen Dr
Fayetteville, NC 28304-3964

Phone

(910) 867-2960

Fax

(910) 717-7715

NPI assigned

Feb 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Clark Owens, MED

Title

Program Director

Phone

(910) 867-2960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437285673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 VARA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042788",
            "telephone_number": "910-867-2960",
            "fax_number": "910-717-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6454 RUTHERGLEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043964",
            "telephone_number": "910-867-2960",
            "fax_number": "910-717-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA FAMILY LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-867-2960",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Case Management Agency 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.