Organization Active NPI

New Beginnings Family Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Mocksville, NC
National Provider Identifier
1063647881
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL030019 Issued in NC
Legal business name
NEW BEGINNINGS FAMILY SERVICES
Practice address
713 E Lexington Rd Apt 202
Mocksville, NC 27028-2623
Phone
(336) 936-0029
Fax
(336) 936-0039
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Becky P Klass
Title
Director/Owner
Phone
(336) 936-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL030019 NC Primary

Addresses

Primary practice location

713 E Lexington Rd Apt 202
Mocksville, NC 27028-2623

Mailing address

713 E Lexington Rd
Mocksville, NC 27028-2623
Phone (336) 936-0029

Other identifiers 1

IdentifierTypeStateIssuer
6604105OtherPROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1063647881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E LEXINGTON RD",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282623",
            "telephone_number": "336-936-0029",
            "fax_number": "336-936-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E LEXINGTON RD APT 202",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282623",
            "telephone_number": "336-936-0029",
            "fax_number": "336-936-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "KLASS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "336-936-0029"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL030019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "6604105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mocksville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.