Active NPI
A Voice of My Own Therapeutic Services
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raleigh, NC
National Provider Identifier
1053636290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- A VOICE OF MY OWN THERAPEUTIC SERVICES
- Practice address
- 1000 Cookwood CT
Raleigh, NC 27610-6072 - Phone
- (919) 400-9711
- Fax
- (910) 425-1445
- NPI assigned
- Mar 31, 2010
- Last updated
- Mar 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amelia Bennett
- Title
- Director
- Phone
- (910) 425-1445
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Case Management Agency | 251B00000X | NC | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | NC | Primary | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NC |
Addresses
Primary practice location
1000 Cookwood CT
Raleigh, NC 27610-6072
Mailing address
1000 Cookwood CT
Raleigh, NC 27610-6072
Phone (919) 400-9711
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269993600000",
"number": "1053636290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 COOKWOOD CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276106072",
"telephone_number": "919-400-9711",
"fax_number": "910-425-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 COOKWOOD CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276106072",
"telephone_number": "919-400-9711",
"fax_number": "910-425-1445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A VOICE OF MY OWN THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-31",
"last_updated": "2010-03-31",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "AMELIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "910-425-1445",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.