Sheila Childers Smith

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-001-081 Issued in NC

Legal business name

SHEILA CHILDERS SMITH

Practice address

925 S Church St
Burlington, NC 27215-3845

Phone

(336) 227-3845

Fax

(336) 227-3845

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila C Smith

Title

Owner/Operator

Phone

(336) 227-3845

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Hillcrest DDA Home Doing business as

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1124146048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153845",
            "telephone_number": "336-227-3845",
            "fax_number": "336-227-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153845",
            "telephone_number": "336-227-3845",
            "fax_number": "336-227-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA CHILDERS SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "336-227-3845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-001-081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805297",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Hillcrest DDA Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melody N Shambley, C.N.M.
• Shamil J. Morayati, MD
• Elise A. Shaner, L.M.B.T.
• Timothy C. Shaner, L.C.S.W.
• Sharon J Cobham DDS & Nicole Lecann DDS PA
• Shipman Family Home Care Inc.
• Shipman-Almanance
• Amanda Marie Shirley, FNP
• Kathryn Shoffner
• Jimmie Blake Shuler, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.