Famond Care Network LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

FAMOND CARE NETWORK LLC

Practice address

5216 E Diatomite Dr
San Tan Valley, AZ 85143-5780

Phone

(480) 352-7441

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

FAMOND CARE NETWORK LLCAs reported in NPPES

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

Authorized official

Name

Edmond E Mosima

Title

Administrator

Phone

(480) 352-7441

Specialties & licenses 1

Addresses

Tax ID family

Famond Care Network LLC3 organizations share this tax ID, including this one

Part of

Famond Care Network LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Famond Care Network LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Florence, AZ
  • NPI 1578314878
  NPD tax ID
• Famond Care Network LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Florence, AZ
  • NPI 1639748239
  NPD tax ID

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.

• Famond Care Network LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Florence, AZ
  • NPI 1639748239
  NPPES parent name

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1932950243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 E ASTER LN",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851327183",
            "telephone_number": "480-352-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 E DIATOMITE DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435780",
            "telephone_number": "480-352-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMOND CARE NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMOND CARE NETWORK LLC",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "MOSIMA",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-352-7441"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Everhart, PT
• Experience Physical Therapy LLC
• Chidozie C Eze, FNP
• Lorraine D Fajardo, FNP-BC
• Anyssa Falcon, SLPA
• Shannon Paula Farrell, SLP
• Laura Xian Feng
• Olivia Ferguson, ED.S.
• Fit Kids, Inc. (Champion Schools San Tan Valley)
• Rachel Forgang, LMSW

• Mental Illness Community Based Residential Treatment Facility in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.