NPIMap

Organization Active NPI

Uplift Comprehensive Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Windsor, NC
National Provider Identifier
1013095058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-008-025 Issued in NC
Legal business name
UPLIFT COMPREHENSIVE SERVICES
Practice address
345 Cedar Landing Rd
Windsor, NC 27983-9013
Phone
(252) 794-2778
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Taylor
Title
Cfo/Owner
Phone
(919) 662-9918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-008-025 NC Primary

Addresses

Primary practice location

345 Cedar Landing Rd
Windsor, NC 27983-9013

Mailing address

PO Box 31
Garner, NC 27529-0031

Other identifiers 1

IdentifierTypeStateIssuer
6603665MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Uplift Comprehensive Services20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013095058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275290031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CEDAR LANDING RD",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839013",
            "telephone_number": "252-794-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT COMPREHENSIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "919-662-9918"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-008-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603665",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.