Family Outreach & Resource, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

119894 Issued in TX

Legal business name

FAMILY OUTREACH & RESOURCE, INC.

Practice address

910 Court Dr
Palestine, TX 75803-3920

Phone

(903) 723-8294

Fax

(903) 723-6308

NPI assigned

Apr 3, 2007

Last updated

May 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl E Davis Sr.

Title

Chairman

Phone

(903) 723-7486

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1679694913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 COURT DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758033920",
            "telephone_number": "903-723-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COURT DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758033920",
            "telephone_number": "903-723-8294",
            "fax_number": "903-723-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OUTREACH & RESOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "903-723-7486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "119894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "000304400",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Ellisor, PT, DPT
• Enchanted Hearts Adult Daycare
• Eric L. Hensen, DO PA
• Eye Group of Palestine, PA
• Robert J Falconer, M.D.
• Fannin County Hospital Authority (Trucare Living Centers)
• Fannin County Hospital Authority (Greenbrier Nursing & Rehabilitation Center of Palestine)
• Michael Fanning
• Clifton Fincher, CRNA
• Brianna Fitzgerald, RN

• Adult Care Home Facility in Palestine, TX
• Providers in Palestine, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.