Fields Foundation, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-058-008 Issued in NC

Legal business name

FIELDS FOUNDATION, INC.

Practice address

1895 Green Acres Rd
Williamston, NC 27892-8252

Phone

(252) 792-6343

Fax

(252) 792-2881

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shirley L. Fields, DBA

Title

Administrator

Phone

(252) 792-6343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669510905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 GREEN ACRES RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278928252",
            "telephone_number": "252-792-6343",
            "fax_number": "252-792-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 GREEN ACRES RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278928252",
            "telephone_number": "252-792-6343",
            "fax_number": "252-792-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDS FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-792-6343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-058-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Williamston, NC
• Providers in Williamston, NC by specialty
• Adult Care Home Facility 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.