Faithworks Assisted Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-079-067 Issued in NC

Legal business name

FAITHWORKS ASSISTED LIVING

Practice address

814 Lindsey St
Reidsville, NC 27320-3112

Phone

(336) 394-4216

NPI assigned

Sep 4, 2008

Last updated

Sep 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Zack Turner Martin Jr.

Title

Owner

Phone

(336) 394-4216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1841448669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S VAN BUREN RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 LINDSEY ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203112",
            "telephone_number": "336-394-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHWORKS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ZACK",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-394-4216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-079-067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emergeortho, P.a.
• Luther Hayewood Eure Jr., MD
• Roy O Fagan III, MD
• Cassondra Danielle Faircloth, MA, LCMHCA
• Faith & Love Connection Center
• Family Tree OB GYN, PA
• Tesfaye Demissie Fanta, MD
• Dorris A. Farmer, COF, CFM, CFTS
• Karlene Chanell Figueroa
• Marianna Rose Fittante

• Adult Care Home Facility in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.