Provider Demographics
NPI:1386819720
Name:FAMILY ADVANTAGE LLC
Entity Type:Organization
Organization Name:FAMILY ADVANTAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GILCHRIST
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:252-536-0600
Mailing Address - Street 1:289 WADE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTLAND NECK
Mailing Address - State:NC
Mailing Address - Zip Code:27874-8957
Mailing Address - Country:US
Mailing Address - Phone:252-536-0600
Mailing Address - Fax:252-826-3999
Practice Address - Street 1:289 WADE RD
Practice Address - Street 2:
Practice Address - City:SCOTLAND NECK
Practice Address - State:NC
Practice Address - Zip Code:27874-8957
Practice Address - Country:US
Practice Address - Phone:252-826-0429
Practice Address - Fax:252-826-0449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child