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FAMILY FOCUSED LLC NPI 1174664528


NPI Information

NPI: 1174664528
Provider Name: FAMILY FOCUSED, LLC

Other Name: FAMILY FOCUSED, LLC @TREYBURN COURT

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
2415 BRODICK CT
WILMINGTON, NC
ZIP 28411
Phone: (910) 792-6138
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FAMILY FOCUSED, LLC is a residential treatment facility emotionally disturbed children in Wilmington, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FAMILY FOCUSED, LLC NPI is 1174664528. The provider is registered as an organization entity type.
The provider Other Name Is Family Focused, Llc @treyburn Court.

The provider's business location address is:

2415 BRODICK CT
WILMINGTON, NC
ZIP 28411-168
Phone: (910) 792-6138

The provider's authorized official is Michele Denise Morse .
The authorized official title is Executive Director and has the following contact phone number (910) 763-3073.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 10/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children065-160NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13404933MEDICAIDNORTH CAROLINA
26604096MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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