NPIMap

Organization Active NPI

Barium Springs Home for Children

  • Psychiatric Residential Treatment Facility
  • Statesville, NC
National Provider Identifier
1093916751
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
BARIUM SPRINGS HOME FOR CHILDREN
Practice address
138 Barium Springs Drive
King - PRTF
Statesville, NC 28677
Phone
(704) 873-1011
Fax
(704) 924-7683
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Celeste Inez Dominguez
Title
Ceo
Phone
(704) 873-2211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatric Residential Treatment Facility 323P00000X NC Primary

Addresses

Primary practice location

138 Barium Springs Drive
King - PRTF
Statesville, NC 28677

Mailing address

PO Box 1
Barium Springs, NC 28010-0001
Phone (704) 873-1011

Other identifiers 1

IdentifierTypeStateIssuer
3404554MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Barium Springs Home for Children58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

138 Barium Springs Dr
Statesville, NC 28677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1093916751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "BARIUM SPRINGS",
            "state": "NC",
            "postal_code": "280100001",
            "telephone_number": "704-873-1011",
            "fax_number": "704-832-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 BARIUM SPRINGS DRIVE",
            "address_2": "KING - PRTF",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-873-1011",
            "fax_number": "704-924-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIUM SPRINGS HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-873-2211"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404554",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.