NPIMap

Organization Active NPI

Iquolioc Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, NC
National Provider Identifier
1144357872
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IQUOLIOC INC.
Practice address
211 Drummer Kellum Rd
Jacksonville, NC 28546-9308
Phone
(910) 355-2000
Fax
(910) 355-6900
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Tammy L Cleveland
Title
President
Phone
(910) 355-2000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-016-032 NC
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

211 Drummer Kellum Rd
Jacksonville, NC 28546-9308

Mailing address

211 Drummer Kellum Rd
Jacksonville, NC 28546-9308
Phone (910) 355-2000

Other identifiers 1

IdentifierTypeStateIssuer
3409548MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Iquolioc Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1144357872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DRUMMER KELLUM RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469308",
            "telephone_number": "910-355-2000",
            "fax_number": "910-355-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 DRUMMER KELLUM RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469308",
            "telephone_number": "910-355-2000",
            "fax_number": "910-355-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQUOLIOC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-355-2000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-016-032",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.