Active NPI
Synergy Family Care, LLC
- Adult Care Home Facility
- Gastonia, NC
National Provider Identifier
1780063305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL036032
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.