NPIMap

Organization Active NPI

Children'S Advocacy Network, LLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1154440931
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDREN'S ADVOCACY NETWORK, LLC
Practice address
1552 Union Rd Ste E
Gastonia, NC 28054-5523
Phone
(704) 833-0154
Fax
(704) 833-7076
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Ms. Vickie K McDuffie
Title
Office Administrator
Phone
(704) 833-0154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1552 Union Rd Ste E
Gastonia, NC 28054-5523

Mailing address

1552 Union Rd Ste E
Gastonia, NC 28054-5523
Phone (704) 833-0154

Other identifiers 1

IdentifierTypeStateIssuer
3418156MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Children'S Advocacy Network LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1552 Union Rd
Ste E
Gastonia, NC 28054
Phone (704) 222-2928

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1154440931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 UNION RD STE E",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545523",
            "telephone_number": "704-833-0154",
            "fax_number": "704-833-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 UNION RD STE E",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545523",
            "telephone_number": "704-833-0154",
            "fax_number": "704-833-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ADVOCACY NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "MCDUFFIE",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-833-0154",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418156",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.