Family Preservation Services of North Carolina, Inc.
Organization Active NPI Community/Behavioral Health Agency · Rutherfordton, NC
NPI 1831278019 · NPPES record last updated Feb 10, 2014
Key facts
- NPI
- 1831278019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC.
- Practice address
- 190 N Main St
Rutherfordton, NC 28139-2502 - Phone
- (828) 351-2197
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Miranda K Little
- Title
- NC State Qi & Training Director
- Phone
- (704) 344-0491
Other NPIs on the same Medicare enrollment 25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070801000148 | NC | Part B Supplier - Clinic/Group Practice | 7214028539 |
Receives reassigned benefits from 15 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hendersonville, NC; Forest City, NC; Columbus, NC; Charlotte, NC; Asheville, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NC | Yes |
Addresses
Primary practice location
190 N Main St
Rutherfordton, NC 28139-2502
Mailing address
PO Box 759194
Baltimore, MD 21275-9194
Phone (828) 225-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301589 | Medicaid | NC |
Other providers in Rutherfordton, NC
- Lee Anna Edgerton
- Alicia Edwards
- Ella Maes Home Care Services
- Carmen Lauda Fadem
- Faith Primary Care Plus
- Family Preservation Services of North Carolina, Inc.
- Family Preservation Services of North Carolina, LLC
- Family Preservation Services of North Carolina, LLC
- Maggie Leigh Fekete
- Kristin E Fell
All providers in Rutherfordton, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.