NPIMap

Organization Active NPI

Visions Residential Healthcare Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Clinton, NC
National Provider Identifier
1093838104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
61553 Issued in NC
Legal business name
VISIONS RESIDENTIAL HEALTHCARE SERVICES
Practice address
1782 Matthis Rd
Clinton, NC 28328-0859
Phone
(910) 482-3513
Fax
(910) 482-3571
NPI assigned
Apr 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Annie R Hasan, MED
Title
Directorowner
Phone
(910) 482-3513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 61553 NC Primary

Addresses

Primary practice location

1782 Matthis Rd
Clinton, NC 28328-0859

Mailing address

549 Stacy Weaver Dr
Fayetteville, NC 28311-0859
Phone (910) 482-3513

Other identifiers 1

IdentifierTypeStateIssuer
6606045MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Visions Therapeutic Foster Family Care Services15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093838104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 STACY WEAVER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110859",
            "telephone_number": "910-482-3513",
            "fax_number": "910-482-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 MATTHIS RD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283280859",
            "telephone_number": "910-482-3513",
            "fax_number": "910-482-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS RESIDENTIAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOROWNER",
        "authorized_official_telephone_number": "910-482-3513",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "61553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6606045",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, 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.