Active NPI
New Beginnings Family Services
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Mocksville, NC
National Provider Identifier
1063647881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL030019
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6604105 | Other | PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.