F.A.C. GROUP HOMES, LLC


Address: 9485 Huckabee Ct, Leland, NC 28451
Phone: 9102645311

F.A.C. GROUP HOMES, LLC (NPI# 1396930137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396930137
Entity Type Organization
Organization Name F.A.C. GROUP HOMES, LLC
Other Organization Name THE HOUSE OF EVE
Practice Address 9485 Huckabee Ct
Leland
NC 28451
Mailing Address Po Box 51
Leland
NC 28451-0051
Practice Telephone 9102645311
Practice Fax Number 9107931226
Mailing Telephone 9102645311
Mailing Fax Number 9107931226
Enumeration Date 2007-09-13
Last Update Date 2007-09-19
Authorized Official Name FRANCES ANN COVINGTON (DIRECTOR)
Authorized Official Telephone 9102645311
Authorized Official Credential BSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 322D00000X NC Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
The House of Eve Other Name - Individual/Organization

Office Location

Street Address 9485 HUCKABEE CT
City LELAND
State NC
Zip Code 28451

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811427156 Town of Leland Ambulance 1004 Village Rd, Leland, NC 28451 2017-06-19
1205389517 Total Renal Care of North Carolina LLC Clinic/Center 1220 Magnolia Village Way, Leland, NC 28451 2016-08-03
1043696800 William Sanders Sr. Respite Care 3043 Ramble Dr, Leland, NC 28451 2015-08-04
1457730707 Devinn L Geeson Dentist 1215 Westgate Drive, Suite 180, Leland, NC 28451 2015-05-20
1740611706 Mark C. Austin Omfs, Pllc Oral & Maxillofacial Surgery 2001 South Baxter Drive, Leland, NC 28451 2013-12-02
1750711123 Donna Rose Hodnicki Nurse Practitioner 1132 East Cutler Crossing, Leland, NC 28451 2013-11-20
1992137996 Abbey Jones Mcclanahan Physical Therapist 1003 Olde Waterford Way # B, Leland, NC 28451 2013-08-01
1306010780 Walter B. Futch, Jr. Dds Pa Dentist 1006 Northgate Drive, Leland, NC 28451 2008-04-17
1639357429 Sbh- Wilmington, LLC Psychiatric Hospital 2050 Mercantile Drive, Leland, NC 28451 2008-02-05
1821129321 Wal-mart Stores East, L.p. Technician/Technologist 1114 Newpoint Blvd, Leland, NC 28451 2007-03-08
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952446619 Word of Life Outeach, Inc Residential Treatment Facility, Emotionally Disturbed Children 9781 Blackwell Rd Se, Leland, NC 28451-8519 2007-02-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023617255 Creative Helping Hands LLC Residential Treatment Facility, Emotionally Disturbed Children 478 Green Lake Rd, Rockingham, NC 28379-7850 2020-10-19
1083237986 Revive Housing LLC Residential Treatment Facility, Emotionally Disturbed Children 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 2020-05-26
1457998627 Re Health Group Residential Treatment Facility, Emotionally Disturbed Children 1102 Groves St, Kings Mountain, NC 28086-2232 2019-12-05
1821631532 Marquita Latrice Walls Residential Treatment Facility, Emotionally Disturbed Children 1565 Longbranch Rd, Grover, NC 28073-9599 2019-10-25
1699233866 A Brighter Path LLC Residential Treatment Facility, Emotionally Disturbed Children 120 Jetter Rd, Grover, NC 28073-9687 2019-03-06
1821562224 Carter Clinic, Pa Residential Treatment Facility, Emotionally Disturbed Children 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 2019-01-18
1659842607 Gervonia Robinson Residential Treatment Facility, Emotionally Disturbed Children 1714 Aster Ln, Gastonia, NC 28054-8303 2018-12-16
1679058440 Miracle Houses Inc Residential Treatment Facility, Emotionally Disturbed Children 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 2018-09-27
1174048078 A Safe Place Community Housing, LLC Residential Treatment Facility, Emotionally Disturbed Children 2049 Highland St, Charlotte, NC 28208-4909 2017-08-11
1104346881 Inspiration for Us Residential Treatment Facility, Emotionally Disturbed Children 1205 W Mountain St, Kernersville, NC 27284-2173 2017-06-22
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Competitor

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City LELAND
Zip Code 28451

Improve Information

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Dataset Information

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.

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