NPIMap

Organization Active NPI

Sierra's Residential Services, Inc.

  • Community/Behavioral Health Agency
  • Lillington, NC
National Provider Identifier
1184726739
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIERRA'S RESIDENTIAL SERVICES, INC.
Practice address
1995 US 421 N
Lillington, NC 27546-7436
Phone
(910) 814-4243
Fax
(910) 814-4245
NPI assigned
Sep 3, 2006
Last updated
Jul 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Scottie Jeffery Vanhook, LCSWNPI 1639307127
Title
Clinical Director / President
Phone
(910) 257-1156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C002092 NC
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1995 US 421 N
Lillington, NC 27546-7436

Mailing address

PO Box 655
Lillington, NC 27546-0655
Phone (910) 257-1156

Other identifiers 3

IdentifierTypeStateIssuer
8300458MedicaidNC
8300458BMedicaidNC
8300458GMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Sierra's Residential Services8 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

1995 US 421 N
Lillington, NC 27546
Phone (910) 257-1156

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1184726739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275460655",
            "telephone_number": "910-257-1156",
            "fax_number": "919-498-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 US 421 N",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467436",
            "telephone_number": "910-814-4243",
            "fax_number": "910-814-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA'S RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-03",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "VANHOOK",
        "authorized_official_first_name": "SCOTTIE",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / PRESIDENT",
        "authorized_official_telephone_number": "910-257-1156",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002092",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300458",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300458B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300458G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.