Five Mile Family Services LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

FIVE MILE FAMILY SERVICES LLC

Practice address

4994 Winding Ridge Dr
Greensboro, NC 27406-3158

Phone

(336) 254-3867

NPI assigned

Jun 6, 2025

Organization subpart

No

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

Authorized official

Name

Koretta KingNPI 1194325746

Title

Owner

Phone

(336) 254-3867

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Koretta A King

  • Licensed Practical Nurse
  • Greensboro, NC
  • NPI 1194325746
  NPD Authorized official

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1861386468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 WINDING RIDGE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 WINDING RIDGE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063158",
            "telephone_number": "336-254-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE MILE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KORETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-254-3867"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cathryn Fitzgerald, MD
• Robert E Fitzgerald
• William Edmond Fitzgerald Jr., MD
• Korie Fitzpatrick
• Tracie Fitzpatrick, MAED
• Five Star Quality Care - Obx Operator, LLC
• Fix Kids, Incorporated
• Nicole Flaharty, SLP
• Kelsey Flanigan
• Flash RSN Family and Urgent Care, PLLC

• Assisted Living Facility (Mental Illness) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.