NPIMap

Organization Active NPI

Family Preservation Services of North Carolina, LLC

  • Community/Behavioral Health Agency
  • Hendersonville, NC
National Provider Identifier
1982935698
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC
Practice address
690 Ridge Rd
Hendersonville, NC 28792-7468
Phone
(828) 697-4187
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Pamela L Freeley
Title
NC Billing System Supervisor
Phone
(704) 344-0491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

690 Ridge Rd
Hendersonville, NC 28792-7468

Mailing address

PO Box 759194
Baltimore, MD 21275-9194
Phone (828) 225-3100

Other practice location 1

4601 Park Rd
Suite 400
Charlotte, NC 28209-3239
Phone (704) 344-0491

Other practice location 2

690 Ridge Rd
Dana, NC 28724
Phone (828) 697-4187

Other identifiers 2

IdentifierTypeStateIssuer
8302955MedicaidNC
8302955RMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Family Preservation Services of NC Inc - Vance Henderson Middle88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

690 Ridge Rd
Hendersonville, NC 28792

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1982935698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759194",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212759194",
            "telephone_number": "828-225-3100",
            "fax_number": "828-225-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 RIDGE RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287927468",
            "telephone_number": "828-697-4187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Park Rd",
            "address_2": "SUITE 400",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093239",
            "country_code": "US",
            "telephone_number": "704-344-0491",
            "fax_number": "828-225-3604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "690 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Dana",
            "state": "NC",
            "postal_code": "28724",
            "country_code": "US",
            "telephone_number": "828-697-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "FREELEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NC BILLING SYSTEM SUPERVISOR",
        "authorized_official_telephone_number": "704-344-0491"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302955",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302955R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.