Organization Active NPI

Hilly Branch Day Treatment Center

  • Early Intervention Provider Agency
  • Lumberton, NC
National Provider Identifier
1114159654
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
MHL-0-78-231 Issued in NC
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

Updated by the provider on Aug 18, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.