NPIMap

Organization Active NPI

Family Preservation Services of NC, Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1679891337
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY PRESERVATION SERVICES OF NC, INC.
Practice address
2300 W Sugar Creek Rd
Charlotte, NC 28262-3144
Phone
(980) 343-5231
NPI assigned
May 5, 2010
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PROVIDENCE SERVICE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Miranda Kaye Little
Title
NC Qi & Training Dir
Phone
(704) 344-0491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

2300 W Sugar Creek Rd
Charlotte, NC 28262-3144

Mailing address

PO Box 759194
Baltimore, MD 21275-9194
Phone (828) 225-3100

Other identifiers 1

IdentifierTypeStateIssuer
8303135RMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Family Preservation Services of North Carolina Inc - Brevard Middle88 organizations share this tax ID, including this one
Part of
Providence Human Services of Wa

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1679891337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759194",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212759194",
            "telephone_number": "828-225-3100",
            "fax_number": "828-225-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W SUGAR CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623144",
            "telephone_number": "980-343-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESERVATION SERVICES OF NC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE SERVICE CORPORATION",
        "enumeration_date": "2010-05-05",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "NC QI & TRAINING DIR",
        "authorized_official_telephone_number": "704-344-0491"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303135R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.