Organization Active NPI

Foster'S Care Facility, LLC

  • Home Health Agency
  • High Point, NC
National Provider Identifier
1487799367
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOSTER'S CARE FACILITY, LLC
Practice address
1320 Hamilton PL Ste 107
High Point, NC 27262-4868
Phone
(336) 885-0602
Fax
(336) 885-0603
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Mr. Foster Lee Wilkins, QP, MS. EDU
Title
Executive Director
Phone
(336) 885-0602

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MHL041-979 NC
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1320 Hamilton PL Ste 107
High Point, NC 27262-4868

Mailing address

593 Hugh Patrick Court
Greensboro, NC 27455
Phone (336) 601-1692

Other identifiers 1

IdentifierTypeStateIssuer
8301410MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Foster'S Care Facility LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1487799367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 HUGH PATRICK COURT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27455",
            "telephone_number": "336-601-1692",
            "fax_number": "336-885-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HAMILTON PL STE 107",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624868",
            "telephone_number": "336-885-0602",
            "fax_number": "336-885-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER'S CARE FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "FOSTER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-885-0602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP, MS. EDU"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL041-979",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301410",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 6, 2018; 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.