NPIMap

Organization Active NPI

Quality Care Developmental Services Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Salisbury, NC
National Provider Identifier
1043355761
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL080-136 Issued in NC
Legal business name
QUALITY CARE DEVELOPMENTAL SERVICES INC.
Practice address
301 Harrel St
Salisbury, NC 28144-5868
Phone
(704) 645-2397
Fax
(704) 633-5461
NPI assigned
Feb 20, 2007
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Mrs. Tara Denise White, B.A. SOCIOLOGYNPI 1265858237
Title
Exe. Director
Phone
(704) 798-2851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL080-136 NC Primary

Addresses

Primary practice location

301 Harrel St
Salisbury, NC 28144-5868

Mailing address

PO Box 2748
Salisbury, NC 28145-2748
Phone (704) 645-2397

Other identifiers 1

IdentifierTypeStateIssuer
6603485MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Quality Care Developmental Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1043355761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2748",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281452748",
            "telephone_number": "704-645-2397",
            "fax_number": "704-633-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HARREL ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445868",
            "telephone_number": "704-645-2397",
            "fax_number": "704-633-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE DEVELOPMENTAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXE. DIRECTOR",
        "authorized_official_telephone_number": "704-798-2851",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A. SOCIOLOGY"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL080-136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603485",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.