Fowler Family Care, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

FOWLER FAMILY CARE, INC.

Practice address

2445 Hillford Dr
Burlington, NC 27217-3173

Phone

(336) 229-5580

Fax

(336) 570-3303

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Roberta Fowler

Title

Executive Director

Phone

(336) 229-5580

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1841481926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 HILLFORD DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173173",
            "telephone_number": "336-229-5580",
            "fax_number": "336-570-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 HILLFORD DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173173",
            "telephone_number": "336-229-5580",
            "fax_number": "336-570-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-229-5580"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801925",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forward Path Recovery Support Services, LLC
• Bobby Fitzgerald Foster, CSAC-I
• Joynettia A Foster, LPC
• Crystal Hunter Foust
• Katy Foust, FNP-BC
• Cassandra Ann Fowler, LCMHCA
• Derrick Fowler, MSRC, LCAS, LCMHC
• Justin Allen Fowler, D.P.M
• Renita Richmond Foxx, LCMHC, LCAS, CCS
• Lisa Franklin, LCASA

• Adult Care Home Facility in Burlington, NC
• Providers in Burlington, 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 Aug 5, 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.