Active NPI
Foster'S Care Facility, LLC
- Developmentally Disabled Services Day Training Agency
- High Point, NC
National Provider Identifier
1679699565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- FOSTER'S CARE FACILITY, LLC
- Practice address
- 213 Lindsay St
High Point, NC 27262-4868 - Phone
- (336) 855-0602
- Fax
- (336) 855-0603
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Foster Lee Wilkins, MS. EDU, QP
- Title
- Ceo, President
- Phone
- (336) 885-0602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
213 Lindsay St
High Point, NC 27262-4868
Mailing address
4201 Berwyn CT
Greensboro, NC 27407-7883
Phone (336) 601-1692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409533 | Other | NC | CAP PROVIDER ID |
National Provider Directory
National Provider Directory- Tax ID family
- Foster'S Care Facility LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- High Point, NC
- NPI 1477849966
-
- Home Health Agency
- High Point, NC
- NPI 1487799367
Locations
213 Lindsay St
High Point, NC 27262
Phone (336) 855-0602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Winston Salem, NC
- NPI 1083801724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1679699565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 BERWYN CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274077883",
"telephone_number": "336-601-1692",
"fax_number": "336-855-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 LINDSAY ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624868",
"telephone_number": "336-855-0602",
"fax_number": "336-855-0603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOSTER'S CARE FACILITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "WILKINS",
"authorized_official_first_name": "FOSTER",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CEO, PRESIDENT",
"authorized_official_telephone_number": "336-885-0602",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS. EDU, QP"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP PROVIDER ID",
"identifier": "3409533",
"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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.