The M Co. LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL026669 Issued in NC

Legal business name

THE M CO. LLC

Practice address

6576 Cliffdale Rd
Fayetteville, NC 28314-2047

Phone

(910) 764-0954

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Terry Mims

Title

Owner

Phone

(910) 273-5838

Specialties & licenses 1

Addresses

Tax ID family

The M Co LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The M Co. LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1508060500
  NPD tax ID

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1124182415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BROOKCROSSING DR",
            "address_2": "VILLAGE AT LAKEWOOD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069790",
            "telephone_number": "910-273-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6576 CLIFFDALE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142047",
            "telephone_number": "910-764-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE M CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-273-5838",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL026669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The M Co. LLC
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• The Mental Health Association in North Carolina, Inc (Cumberland CS)
• The Mental Health Association in North Carolina, Inc. (Cumberland Apts #1)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.