NPIMap

Organization Active NPI

Grandmaz Residential

  • Developmentally Disabled Services Day Training Agency
  • Knightdale, NC
National Provider Identifier
1073929048
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GRANDMAZ RESIDENTIAL
Practice address
101 Valley Park Dr
Knightdale, NC 27545-7912
Phone
(919) 607-2041
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Tammy Meadows
Title
Ceo
Phone
(919) 607-2041

Specialties & licenses 1

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

Addresses

Primary practice location

101 Valley Park Dr
Knightdale, NC 27545-7912

Mailing address

101 Valley Park Dr
Knightdale, NC 27545-7912

National Provider Directory

National Provider Directory
Tax ID family
When It Raines11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1073929048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 VALLEY PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VALLEY PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457912",
            "telephone_number": "919-607-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDMAZ RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-607-2041"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 10, 2014; 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.