NPIMap

Organization Active NPI

Barium Springs Home for Children Kulynych Cottage

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Wilkesboro, NC
National Provider Identifier
1033428487
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
NOT YET ASSIGNED Issued in NC
Legal business name
BARIUM SPRINGS HOME FOR CHILDREN KULYNYCH COTTAGE
Practice address
517 Boston Avenue
Wilkesboro, NC 28659
Phone
(336) 667-5095
Fax
(336) 927-6541
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mr. John Koppelmeyer, MSW
Title
President/Ceo
Phone
(704) 872-4157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NOT YET ASSIGNED NC Primary

Addresses

Primary practice location

517 Boston Avenue
Wilkesboro, NC 28659

Mailing address

PO Box 1
Barium Springs, NC 28010-0001
Phone (704) 872-4157

Other identifiers 1

IdentifierTypeStateIssuer
NOT YET ASSIGNEDMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Barium Springs Home for Children58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1033428487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "BARIUM SPRINGS",
            "state": "NC",
            "postal_code": "280100001",
            "telephone_number": "704-872-4157",
            "fax_number": "704-924-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 BOSTON AVENUE",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "28659",
            "telephone_number": "336-667-5095",
            "fax_number": "336-927-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIUM SPRINGS HOME FOR CHILDREN KULYNYCH COTTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "KOPPELMEYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-872-4157",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "NOT YET ASSIGNED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NOT YET ASSIGNED",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.