Organization Active NPI

The Mental Health Association in North Carolina, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Raeford, NC
National Provider Identifier
1073736013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-047-039 Issued in NC
Legal business name
THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC
Practice address
400 W. Eigth St
Raeford, NC 28376
Phone
(910) 848-8466
NPI assigned
Apr 10, 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
Mr. Kevin Cochran
Title
Financial Assistant
Phone
(919) 866-3287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-047-039 NC Primary

Addresses

Primary practice location

400 W. Eigth St
Raeford, NC 28376

Mailing address

1331 Sunday Dr
Raleigh, NC 27607-5166
Phone (919) 866-3287

Other identifiers 1

IdentifierTypeStateIssuer
7805109MedicaidNC

Other names 1

  • CHC of Hoke County Group Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073736013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075166",
            "telephone_number": "919-866-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W. EIGTH ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "28376",
            "telephone_number": "910-848-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "FINANCIAL ASSISTANT",
        "authorized_official_telephone_number": "919-866-3287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-047-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805109",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHC of Hoke County Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, 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.