Organization Active NPI

L.J. Choices, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Red Springs, NC
National Provider Identifier
1033304522
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-078-193 Issued in NC
Legal business name
L.J. CHOICES, INC.
Practice address
113 South Edinborough St
Red Springs, NC 28377-1231
Phone
(910) 843-8210
Fax
(910) 860-0594
NPI assigned
Sep 8, 2007
Organization subpart
Yes
Parent organization
L.J. CHOICES, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Linda S Johnson
Title
Director
Phone
(910) 308-7331

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

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

National Provider Directory

National Provider Directory
Tax ID family
LJ Choices Inc (2 organizations share this tax ID)
Part of
LJ Choices Inc

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-078-193 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

113 South Edinborough St
Red Springs, NC 28377-1231

Mailing address

5712 Prospector Court
Hope Mills, NC 28348-9372
Phone (910) 308-7331

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
6604207MedicaidNC

Other names 1

NPPES NPI Registry
  • South Edinborough Residential Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2008.

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1033304522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 PROSPECTOR COURT",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489372",
            "telephone_number": "910-308-7331",
            "fax_number": "910-860-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SOUTH EDINBOROUGH ST",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771231",
            "telephone_number": "910-843-8210",
            "fax_number": "910-860-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.J. CHOICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "L.J. CHOICES, INC.",
        "enumeration_date": "2007-09-08",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-308-7331"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-078-193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604207",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Edinborough Residential",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Red Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.