Faith Homes & Habilitation, LLC II

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

FCL-032-117 Issued in NC

Legal business name

FAITH HOMES & HABILITATION, LLC II

Practice address

830 N Mangum St
Durham, NC 27701-2259

Phone

(919) 961-1757

Fax

(919) 400-4277

NPI assigned

Feb 29, 2012

Organization subpart

Yes

Parent organization

FAITH HOMES & HABILITATION, LLCAs reported in NPPES

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

Authorized official

Name

Gloria Campbell

Title

Administrator

Phone

(919) 961-1757

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Faith Homes and Habilitation

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Faith Homes and Habilitation

  • Mental Illness Community Based Residential Treatment Facility
  • Durham, NC
  • NPI 1134443252
  NPPES parent name

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1881968378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 CUMBERLAND PLAIN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166367",
            "telephone_number": "919-758-8375",
            "fax_number": "919-400-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N MANGUM ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012259",
            "telephone_number": "919-961-1757",
            "fax_number": "919-400-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOMES & HABILITATION, LLC II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITH HOMES & HABILITATION, LLC",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-961-1757"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "FCL-032-117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134443252",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber J. Fairbetter, CRNA
• Muki Fairchild
• Kelly Fairman
• Terri Faison, LCMHC-A, LCAS-A
• Faith Care Team, LLC
• Faith Homes and Habilitation
• Faith Horizon Counseling LLC
• Faith Solutions PLLC
• Faithful 2 Home Care LLC
• Clara Luisa Fajardo

• All providers in Durham, NC
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.