Active NPI
Family Ties Adult Care Home
- Genetics Clinic/Center
- Kannapolis, NC
National Provider Identifier
1851690564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetics Clinic/Center
- License
- FCL013040
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Donald Eubanks
- Mary Lee Evans, LMFT
- Julie A Evers, RPH
- Maureen Nneka Ezechukwu, MD
- Family First Alliance Group Corp (TransCare Mobility)
- Sandra Anthony Ferguson, RN
- Meagan Elizabeth Feurer, MS, OTR/L
- Fidelity Chiropractic, PLLC
- First & Second Chance Adult Care Services Inc. (Rose of Sharon)
- First &Second Chance Adult Care Services Inc. (Lim's)
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.