NPIMap

Organization Active NPI

Ralph Scott Lifeservices Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1073660171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-001-038 Issued in NC
Legal business name
RALPH SCOTT LIFESERVICES INC
Practice address
408 W Trade Street
Burlington, NC 27217-2400
Phone
(336) 227-1011
Fax
(336) 570-2855
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julia S Ewing
Title
Executive Director
Phone
(336) 227-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-001-038 NC Primary

Addresses

Primary practice location

408 W Trade Street
Burlington, NC 27217-2400

Mailing address

408 W Trade Street
Burlington, NC 27217-2400
Phone (336) 227-1011

Other identifiers 1

IdentifierTypeStateIssuer
7802637MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Ralph Scott Lifeservices Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073660171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W TRADE STREET",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172400",
            "telephone_number": "336-227-1011",
            "fax_number": "336-570-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W TRADE STREET",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172400",
            "telephone_number": "336-227-1011",
            "fax_number": "336-570-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH SCOTT LIFESERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-227-1011"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-001-038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802637",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.