NPIMap

Organization Active NPI

Susie'S Place

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1154560050
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
3747P1801X Issued in NC
Legal business name
SUSIE'S PLACE
Practice address
724 Askew St
Burlington, NC 27215-2202
Phone
(336) 380-0772
Fax
(336) 270-6303
NPI assigned
Feb 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Mr. Lorenzo Moore
Title
Manager
Phone
(336) 380-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 3747P1801X NC Primary

Addresses

Primary practice location

724 Askew St
Burlington, NC 27215-2202

Mailing address

PO Box 5144
Burlington, NC 27216-5144
Phone (336) 380-0772

Other names 1

  • T & C Property Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hearts of Gold4 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": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1154560050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5144",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272165144",
            "telephone_number": "336-380-0772",
            "fax_number": "336-270-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 ASKEW ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272152202",
            "telephone_number": "336-380-0772",
            "fax_number": "336-270-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSIE'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-380-0772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "3747P1801X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T & C Property Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.