NPIMap

Organization Active NPI

Family Preservation Services of North Carolina LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1740312107
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA LLC
Practice address
2300 Sardis Rd N Ste M
Charlotte, NC 28227-7712
Phone
(704) 344-0491
NPI assigned
Mar 12, 2007
Last updated
Dec 4, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Pamela L Freeley
Title
NC Billing System Supervisor
Phone
(704) 344-0491

Specialties & licenses 1

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

Addresses

Primary practice location

2300 Sardis Rd N Ste M
Charlotte, NC 28227-7712

Mailing address

PO Box 759194
Baltimore, MD 21275-9194
Phone (704) 344-0491

Other practice location 1

4601 Park Rd
Suite 400
Charlotte, NC 28209-3239
Phone (704) 344-0491

Other identifiers 2

IdentifierTypeStateIssuer
8300284MedicaidNC
8300284VMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Family Preservation Services of NC Inc - Eaton Johnson Middle88 organizations share this tax ID, including this one
Part of
Family Preservation Services of NC Inc - Eaton Johnson Middle

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1740312107",
    "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": "704-344-0491",
            "fax_number": "704-344-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SARDIS RD N STE M",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277712",
            "telephone_number": "704-344-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Park Rd",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093239",
            "country_code": "US",
            "telephone_number": "704-344-0491",
            "fax_number": "704-344-0493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY PRESERVATION SERVICES OF NORTH CAROLINA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "FREELEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NC BILLING SYSTEM SUPERVISOR",
        "authorized_official_telephone_number": "704-344-0491"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300284",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300284V",
            "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 Dec 4, 2018; 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.