Organization Active NPI

Tears of an Addict, LLC

  • Community/Behavioral Health Agency
  • Burlington, NC
National Provider Identifier
1093174914
Registry record updated Feb 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TEARS OF AN ADDICT, LLC
Practice address
818 S Church St
Burlington, NC 27215-3814
Phone
(336) 686-2867
NPI assigned
Feb 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2016

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

Authorized official

Name
Miss Ella Ruth Sombelon
Title
Owner
Phone
(336) 686-2867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

818 S Church St
Burlington, NC 27215-3814

Mailing address

1015 Glendale Dr Apt 15D
Greensboro, NC 27406-6456
Phone (336) 686-2867

National Provider Directory

National Provider Directory

Locations

818 S Church St
Burlington, NC 27215
Phone (336) 686-2867

NPI Registry JSON

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455926400000",
    "number": "1093174914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GLENDALE DR APT 15D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274066456",
            "telephone_number": "336-686-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153814",
            "telephone_number": "336-686-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEARS OF AN ADDICT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-20",
        "last_updated": "2016-02-20",
        "status": "A",
        "authorized_official_last_name": "SOMBELON",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-686-2867",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 20, 2016; 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.