NPIMap

Organization Active NPI

Quality Care Developmental Services Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Salisbury, NC
National Provider Identifier
1083767669
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL080-160 Issued in NC
Legal business name
QUALITY CARE DEVELOPMENTAL SERVICES INC.
Practice address
328 Old Concord Rd
Salisbury, NC 28144-5532
Phone
(704) 645-8484
Fax
(704) 633-5461
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Mrs. Tara Denise White, B.A.
Title
Exe. Director
Phone
(704) 798-2851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL080-160 NC Primary

Addresses

Primary practice location

328 Old Concord Rd
Salisbury, NC 28144-5532

Mailing address

PO Box 2748
Salisbury, NC 28145-2748
Phone (704) 645-8484

Other identifiers 1

IdentifierTypeStateIssuer
6603346MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Quality Care Developmental Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1083767669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2748",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281452748",
            "telephone_number": "704-645-8484",
            "fax_number": "704-633-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 OLD CONCORD RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445532",
            "telephone_number": "704-645-8484",
            "fax_number": "704-633-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE DEVELOPMENTAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXE. DIRECTOR",
        "authorized_official_telephone_number": "704-798-2851",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL080-160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603346",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.