NPIMap

Organization Active NPI

Chaparral Youth Services II

  • Home Health Agency
  • Pembroke, NC
National Provider Identifier
1104063981
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3855 Issued in NC
Legal business name
CHAPARRAL YOUTH SERVICES II
Practice address
68 Three Hunts Dr Ste B
Pembroke, NC 28372-7319
Phone
(910) 759-7748
Fax
(910) 759-7727
NPI assigned
Jan 15, 2009
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Sheree L. SampsonNPI 1912378993
Title
Owner/Manager
Phone
(910) 827-1169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3855 NC Primary

Addresses

Primary practice location

68 Three Hunts Dr Ste B
Pembroke, NC 28372-7319

Mailing address

68 Three Hunts Dr Ste B
Pembroke, NC 28372-7319
Phone (910) 759-7748

National Provider Directory

National Provider Directory
Tax ID family
Sheree L Sampson5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

68 Three Hunts Dr
Ste B
Pembroke, NC 28372
Phone (910) 759-7748

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1104063981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 THREE HUNTS DR STE B",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727319",
            "telephone_number": "910-759-7748",
            "fax_number": "910-759-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 THREE HUNTS DR STE B",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727319",
            "telephone_number": "910-759-7748",
            "fax_number": "910-759-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPARRAL YOUTH SERVICES II",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "910-827-1169"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.