Organization Active NPI

Angelic Community & Family Services of Cumberland Count

  • Preferred Provider Organization
  • Fayetteville, NC
National Provider Identifier
1710130299
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ANGELIC COMMUNITY & FAMILY SERVICES OF CUMBERLAND COUNT
Practice address
1014 Hay St
Fayetteville, NC 28305-5316
Phone
(910) 223-0120
Fax
(910) 223-0123
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Eric Bernard Mitchell
Title
Director of Operations
Phone
(910) 223-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

1014 Hay St
Fayetteville, NC 28305-5316

Mailing address

1014 Hay St
Fayetteville, NC 28305-5316
Phone (910) 223-0120

National Provider Directory

National Provider Directory

Locations

1014 Hay St
Fayetteville, NC 28305
Phone (910) 745-8895

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1710130299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055316",
            "telephone_number": "910-223-0120",
            "fax_number": "910-223-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055316",
            "telephone_number": "910-223-0120",
            "fax_number": "910-223-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC COMMUNITY & FAMILY SERVICES OF CUMBERLAND COUNT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "910-223-0120"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.