Fidelity First Health Care Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

251S00000X Issued in NC

Legal business name

FIDELITY FIRST HEALTH CARE SERVICES, LLC

Practice address

3825 Market St
Suite 6
Wilmington, NC 28403-1453

Phone

(910) 343-1003

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Henry Jacobs, QP, BA

Title

Program Director

Phone

(910) 343-1003

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fidelity First Health Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Fidelity First Healthcare Services, LLC

  • Home Health Agency
  • Wilmington, NC
  • NPI 1093806135
  NPD tax ID
• Fidelity First Health Care Services, LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1114241874
  NPD tax ID

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1992990113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 MARKET ST",
            "address_2": "SUITE 6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031453",
            "telephone_number": "910-343-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 MARKET ST",
            "address_2": "SUITE 6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031453",
            "telephone_number": "910-343-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY FIRST HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-343-1003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP, BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301726B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melley Fesseha, MD
• Alyssa Fetterman
• Robert Mark Fibich, D.C.
• Kristina Ficken
• Scott Fiddler
• Fidelity First Healthcare Services, LLC
• Brad Edward Field, CRNA
• Alexandra Fields
• Carrie Fields, LCSW-A
• Heather Fierce

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.