NPIMap

Organization Active NPI

Your Choice Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Knightdale, NC
National Provider Identifier
1053741850
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
MHL092673 Issued in NC
Legal business name
YOUR CHOICE SERVICES, INC.
Practice address
1035 Bristoe Dr
Apt 107
Knightdale, NC 27545-6459
Phone
(919) 787-7423
Fax
(919) 786-4948
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
John W Gibson Sr.
Title
VP/Treasurer
Phone
(919) 889-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL092673 NC Primary

Addresses

Primary practice location

1035 Bristoe Dr
Apt 107
Knightdale, NC 27545-6459

Mailing address

3824 Barrett Dr
Ste 105
Raleigh, NC 27609-7220
Phone (919) 787-7423

Other identifiers 1

IdentifierTypeStateIssuer
1659497154MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Your Choice Services Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1053741850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR",
            "address_2": "STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "919-787-7423",
            "fax_number": "919-786-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BRISTOE DR",
            "address_2": "APT 107",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456459",
            "telephone_number": "919-787-7423",
            "fax_number": "919-786-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHOICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP/TREASURER",
        "authorized_official_telephone_number": "919-889-0012",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL092673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659497154",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.