FAMILY AFFAIR CARE, LLC
NPI 1114729472
Clinic/Center - Primary Care in Towson, MD
About Family Affair Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY AFFAIR CARE, LLC (NPI 1114729472) is a healthcare organization registered as a primary care in Towson, Maryland and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through April 25, 2028 and lists Rebecca Yvette Jackson, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2258700
Family Affair Care LLC · Baltimore, MDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Family Affair Care, LLC's NPI number?
The NPI number for Family Affair Care, LLC is 1114729472. It was assigned to this organization in the NPPES registry on March 26, 2025.
Where is Family Affair Care, LLC located?
Family Affair Care, LLC is located at 1312 Goucher Blvd, Towson, MD 21286. The listed phone number is (410) 702-0510.
What is Family Affair Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Family Affair Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2258700) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Family Affair Care, LLC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Family Affair Care, Llc · NPI 1114729472
Primary Care organization in Towson, Maryland. Organization record, active in the CMS NPPES registry since March 26, 2025.
## Identity
- **NPI:** 1114729472 (Entity type: Organization)
- **Enumerated:** March 26, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Rebecca Jackson, FNP
## Practice location
- **Address:** 1312 GOUCHER BLVD, Towson, MD 21286-8005
- **Phone:** (410) 702-0510
## Record status
- **NPPES last updated:** March 26, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114729472) · Data from the CMS NPPES public registry.