Active NPI
Classified Group LTD
- Substance Abuse Rehabilitation Facility
- Wake Forest, NC
National Provider Identifier
1003643677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CLASSIFIED GROUP LTD
- Practice address
- 520 Lake Holding St
Wake Forest, NC 27587-6856 - Phone
- (786) 412-1514
- NPI assigned
- Sep 17, 2024
- Last updated
- Sep 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Wolfe
- Title
- President
- Phone
- (786) 412-1514
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary | ||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
520 Lake Holding St
Wake Forest, NC 27587-6856
Mailing address
520 Lake Holding St
Wake Forest, NC 27587-6856
Phone (786) 412-1514
National Provider Directory
National Provider Directory- Tax ID family
- Classified Group LTD
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Wake Forest, NC
- NPI 1467049007
-
- Durable Medical Equipment & Medical Supplies
- Wake Forest, NC
- NPI 1548876006
-
- Adult Mental Health Clinic/Center
- Wake Forest, NC
- NPI 1720846231
-
- Clinical Medical Laboratory
- Wake Forest, NC
- NPI 1922825017
-
- Home Health Agency
- Southfield, MI
- NPI 1477140234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1003643677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 LAKE HOLDING ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876856",
"telephone_number": "786-412-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 LAKE HOLDING ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876856",
"telephone_number": "786-412-1514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLASSIFIED GROUP LTD",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "WOLFE",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-412-1514"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.