PROFESSIONAL FAMILY CARE SERVICES, INC (NPI# 1306970454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306970454 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL FAMILY CARE SERVICES, INC |
| Practice Address |
1012 Pamalee Dr Fayetteville NC 28303-3833 |
| Practice Telephone | 9104850085 |
| Practice Fax Number | 9104850334 |
| Mailing Telephone | 9104850085 |
| Mailing Fax Number | 9104850334 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BENSON OTOVO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9104850085 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679799183 | Professional Family Care Services, Inc | Social Worker | 4441 Bragg Blvd Ste 114, Fayetteville, NC 28303 | 2007-04-17 |
| 1497889000 | Professional Family Care Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19 Susie Cir, Cameron, NC 28326-6596 | 2007-03-15 |
| 1467532978 | Professional Family Care Services, Inc | Case Management | 4441 Bragg Blvd, Fayetteville, NC 28303-3862 | 2006-10-17 |
| 1215061361 | Professional Family Care Services, Inc | Home Health | 1012 Pamalee Dr, Fayetteville, NC 28303-3833 | 2007-03-14 |
| 1124152277 | Professional Family Care Services, Inc | Home Health | 1012 Pamalee Dr, Fayetteville, NC 28303-3833 | 2007-03-14 |
| Street Address |
1012 PAMALEE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871627919 | Professonal Family Care Services, Inc | Clinic/Center | 1012 Pamalee Dr, Fayetteville, NC 28303 | 2007-03-14 |
| 1396254702 | Miles 2 Wisdom LLC | Counselor | 1012 Pamalee Dr, Fayetteville, NC 28303-3833 | 2017-09-28 |
| 1427178581 | Professional Family Care Services, Inc. | Case Management | 1012 Pamalee Dr, Fayetteville, NC 28303-3833 | 2007-03-30 |
| 1841314200 | Professional Family Care Services, Inc. | Case Management | 1012 Pamalee Dr, Fayetteville, NC 28303-3833 | 2007-03-19 |
| 1215061361 | Professional Family Care Services, Inc | Home Health | 1012 Pamalee Dr, Fayetteville, NC 28303-3833 | 2007-03-14 |
| 1124152277 | Professional Family Care Services, Inc | Home Health | 1012 Pamalee Dr, Fayetteville, NC 28303-3833 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499944 | Goal Digger Network LLC | Case Management | 5220 Delco St, Fayetteville, NC 28311-2332 | 2020-08-27 |
| 1437799178 | Brickhouse Management | Case Management | 2529 Raeford Rd Ste C-8, Fayetteville, NC 28305-5098 | 2020-01-10 |
| 1255828612 | Working Concepts Inc | Case Management | 110 Habersham Dr Ste 325, Fayetteville, GA 30214-1381 | 2018-04-20 |
| 1831569268 | Daybreak Case Management Services | Case Management | 110 Hunters Gln, Fayetteville, GA 30215-1914 | 2015-09-28 |
| 1073999538 | Aci Support Specialists, Inc. | Case Management | 257 Kenwood Dr, Fayetteville, NC 28311-0833 | 2015-08-07 |
| 1811323595 | Aci Support Specialists | Case Management | 1619 Winnabow Drive, Fayetteville, NC 28304 | 2013-09-25 |
| 1518393297 | Aci Support Specialists | Case Management | 2257 Spindletree Drive, Fayetteville, NC 28304 | 2013-09-25 |
| 1891121588 | Aci Support Specialists | Case Management | 2633 Gressitt Point Ln, Fayetteville, NC 28306-3555 | 2013-09-25 |
| 1568801355 | Aci Support Specialists, Inc. | Case Management | 342 Wagoner Dr, Suite 107, Fayetteville, NC 28303-4686 | 2013-06-14 |
| 1164787248 | Conceive Believe&achieve LLC | Case Management | 6380 Cliffdale Rd Unit 25032, Fayetteville, NC 28314-2970 | 2012-07-05 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on PROFESSIONAL FAMILY CARE SERVICES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.