NPIMap

Organization Active NPI

Intensive Mental Care Inc

Doing business as Intensive Rehab-Health Services

  • Community/Behavioral Health Agency
  • Hertford, NC
National Provider Identifier
1174755938
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTENSIVE MENTAL CARE INC
Doing business as
Intensive Rehab-Health Services
Practice address
317 Ocean Hwy S
Hertford, NC 27944-7902
Phone
(252) 426-1390
NPI assigned
Aug 12, 2009
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Valerie C Costen
Title
President/Ceo
Phone
(252) 333-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

317 Ocean Hwy S
Hertford, NC 27944-7902

Mailing address

PO Box 1207
Wake Forest, NC 27588-1207
Phone (252) 426-1390

Other names 1

  • Intensive Rehab-Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intensive Mental Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

317 Ocean Hwy S
Hertford, NC 27944
Phone (252) 426-1390

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1174755938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881207",
            "telephone_number": "252-426-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OCEAN HWY S",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279447902",
            "telephone_number": "252-426-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE MENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "COSTEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "252-333-0500"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intensive Rehab-Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hertford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.