Organization Active NPI

Synergy Family Care, LLC

  • Adult Care Home Facility
  • Gastonia, NC
National Provider Identifier
1780063305
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL036032 Issued in NC
Legal business name
SYNERGY FAMILY CARE, LLC
Practice address
705 S Weldon St
Gastonia, NC 28052-3967
Phone
(704) 396-6195
Fax
(704) 943-0547
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Adrienne George
Title
Executive Director
Phone
(704) 222-2805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL036032 NC Primary

Addresses

Primary practice location

705 S Weldon St
Gastonia, NC 28052-3967

Mailing address

11237 Fountaingrove Dr
Charlotte, NC 28262-7450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1780063305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11237 FOUNTAINGROVE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282627450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S WELDON ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280523967",
            "telephone_number": "704-396-6195",
            "fax_number": "704-943-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-222-2805"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL036032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.