The Faith-Courage House, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-041-841 Issued in NC

Legal business name

THE FAITH-COURAGE HOUSE, LLC

Practice address

1106 Delk Dr
High Point, NC 27262-3420

Phone

(336) 884-7061

Fax

(336) 884-0502

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Mae E. Martin

Title

Owner/Director

Phone

(336) 453-8485

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1790967792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5884",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272625884",
            "telephone_number": "336-884-7061",
            "fax_number": "336-884-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DELK DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623420",
            "telephone_number": "336-884-7061",
            "fax_number": "336-884-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAITH-COURAGE HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MAE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "336-453-8485"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Moses H Cone Memorial Hospital Operating Corporation

• Emotionally Disturbed Childrens' Residential Treatment Facility in High Point, NC
• Providers in High Point, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.