Organization Active NPI

New Beginnings Residential Services Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Gastonia, NC
National Provider Identifier
1053552778
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL036267 Issued in NC
Legal business name
NEW BEGINNINGS RESIDENTIAL SERVICES INC.
Practice address
413 S Webb St
Gastonia, NC 28052-3600
Phone
(704) 241-0690
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Mr. Demetrius Crayton
Title
Owner
Phone
(704) 241-0690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL036267 NC Primary

Addresses

Primary practice location

413 S Webb St
Gastonia, NC 28052-3600

Mailing address

413 S Webb St
Gastonia, NC 28052-3600
Phone (704) 241-0690

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1053552778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 S WEBB ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280523600",
            "telephone_number": "704-241-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S WEBB ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280523600",
            "telephone_number": "704-241-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS RESIDENTIAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "CRAYTON",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-241-0690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL036267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.