NPIMap

Organization Active NPI

Family Care Heritage of North Carolina

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1962670240
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-041-859 Issued in NC
Legal business name
FAMILY CARE HERITAGE OF NORTH CAROLINA
Practice address
702 McPherson St
Greensboro, NC 27405-7364
Phone
(336) 333-9292
Fax
(336) 373-1192
NPI assigned
Feb 20, 2008
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mrs. Treaver Houenou, QP
Title
Director
Phone
(336) 373-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-041-859 NC Primary

Addresses

Primary practice location

702 McPherson St
Greensboro, NC 27405-7364

Mailing address

1014 Homeland Ave Ste 105
Greensboro, NC 27405-7015
Phone (336) 373-1285

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1962670240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 HOMELAND AVE STE 105",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057015",
            "telephone_number": "336-373-1285",
            "fax_number": "336-373-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MCPHERSON ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057364",
            "telephone_number": "336-333-9292",
            "fax_number": "336-373-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HERITAGE OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "HOUENOU",
        "authorized_official_first_name": "TREAVER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-373-1285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.