Family Health & Support Network, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

336413117 Issued in CA

Legal business name

FAMILY HEALTH & SUPPORT NETWORK, INC.

Practice address

74410 Highway 111
Suite D
Palm Desert, CA 92260-4157

Phone

(760) 340-2442

Fax

(760) 773-6475

NPI assigned

May 9, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Austin

Title

Chief Executive Officer

Phone

(760) 340-2442

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1831481829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74410 HIGHWAY 111",
            "address_2": "SUITE D",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604157",
            "telephone_number": "760-340-2442",
            "fax_number": "760-773-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74410 HIGHWAY 111",
            "address_2": "SUITE D",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604157",
            "telephone_number": "760-340-2442",
            "fax_number": "760-773-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH & SUPPORT NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "760-340-2442",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CA",
            "license": "336413117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.