Active NPI
Angelic Community & Family Services of Cumberland Count
- Preferred Provider Organization
- Fayetteville, NC
National Provider Identifier
1710130299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.