Organization Active NPI

Family Ties Adult Care Home

  • Genetics Clinic/Center
  • Kannapolis, NC
National Provider Identifier
1851690564
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetics Clinic/CenterTaxonomy code 261QG0250X
License
FCL013040 Issued in NC
Legal business name
FAMILY TIES ADULT CARE HOME
Practice address
305 Bethpage Rd
Kannapolis, NC 28081-4812
Phone
(704) 785-4520
Fax
(704) 782-0554
NPI assigned
Mar 21, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Mr. Mike Allan Howard
Title
Director
Phone
(704) 785-4520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetics Clinic/Center 261QG0250X FCL013040 NC Primary

Addresses

Primary practice location

305 Bethpage Rd
Kannapolis, NC 28081-4812

Mailing address

305 Bethpage Rd
Kannapolis, NC 28081-4812
Phone (704) 785-4520

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1851690564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BETHPAGE RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280814812",
            "telephone_number": "704-785-4520",
            "fax_number": "704-782-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BETHPAGE RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280814812",
            "telephone_number": "704-785-4520",
            "fax_number": "704-782-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TIES ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-785-4520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": "NC",
            "license": "FCL013040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.