Active NPI
Hilly Branch Day Treatment Center
- Early Intervention Provider Agency
- Lumberton, NC
National Provider Identifier
1114159654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- MHL-0-78-231
- Legal business name
- HILLY BRANCH DAY TREATMENT CENTER
- Practice address
- 1900 Hilly Branch Rd
Lumberton, NC 28360-0317 - Phone
- (910) 671-0058
- Fax
- (910) 618-0010
- NPI assigned
- Aug 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Demetrius Jerome Hill
- Title
- Owner / Ceo
- Phone
- (910) 628-5671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | MHL-0-78-231 | NC | Primary |
Addresses
Primary practice location
1900 Hilly Branch Rd
Lumberton, NC 28360-0317
Mailing address
1900 Hilly Branch Rd
Lumberton, NC 28360-0317
Phone (910) 671-0058
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250553600000",
"number": "1114159654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 HILLY BRANCH RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283600317",
"telephone_number": "910-671-0058",
"fax_number": "910-618-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 HILLY BRANCH RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283600317",
"telephone_number": "910-671-0058",
"fax_number": "910-618-0010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLY BRANCH DAY TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "DEMETRIUS",
"authorized_official_middle_name": "JEROME",
"authorized_official_title_or_position": "OWNER / CEO",
"authorized_official_telephone_number": "910-628-5671",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NC",
"license": "MHL-0-78-231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.