NPIMap

Organization Active NPI

Bynum'S Place, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Norlina, NC
National Provider Identifier
1154463685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BYNUM'S PLACE, LLC
Practice address
131 Bynum PL
Norlina, NC 27563-9139
Phone
(252) 257-0149
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Moore Hampton Bynum
Title
Ceo
Phone
(252) 915-9174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

131 Bynum PL
Norlina, NC 27563-9139

Mailing address

131 Bynum PL
Norlina, NC 27563-9139

Other identifiers 1

IdentifierTypeStateIssuer
6603679MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Bynum'S Place LLC4 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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154463685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BYNUM PL",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BYNUM PL",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639139",
            "telephone_number": "252-257-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYNUM'S PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "MOORE",
        "authorized_official_middle_name": "HAMPTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-915-9174"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603679",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norlina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.