1124118039 NPI number — FAMILY PERSPECTIVES LLC

Table of content: (NPI 1124118039)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124118039 NPI number — FAMILY PERSPECTIVES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY PERSPECTIVES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124118039
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1316 SOUTH 16TH STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28401-6442
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-763-5050
Provider Business Mailing Address Fax Number:
910-251-2563

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1316 SOUTH 16TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28401-6442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-763-5050
Provider Business Practice Location Address Fax Number:
910-251-2563
Provider Enumeration Date:
10/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ANDREWS
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
MCKAY
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
910-763-5050

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3418035 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8301822 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300693 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8301823 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6006193 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".