NPIMap

Organization Active NPI

Barium Springs Home for Children

  • Community/Behavioral Health Agency
  • Yadkinville, NC
National Provider Identifier
1184740987
Registry record updated Aug 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL099017 Issued in NC
Legal business name
BARIUM SPRINGS HOME FOR CHILDREN
Practice address
733 E Main St
Yadkin Success Academy
Yadkinville, NC 27055-8137
Phone
(704) 873-1011
Fax
(704) 832-2253
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2009

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

Authorized official

Name
Mr. John Koppelmeyer
Title
President
Phone
(704) 872-4157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL099017 NC Primary

Addresses

Primary practice location

733 E Main St
Yadkin Success Academy
Yadkinville, NC 27055-8137

Mailing address

PO Box 1
Barium Springs, NC 28010-0001
Phone (704) 873-1011

Other identifiers 1

IdentifierTypeStateIssuer
8301442MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Barium Springs Home for Children58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250899200000",
    "number": "1184740987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "BARIUM SPRINGS",
            "state": "NC",
            "postal_code": "280100001",
            "telephone_number": "704-873-1011",
            "fax_number": "704-832-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 E MAIN ST",
            "address_2": "YADKIN SUCCESS ACADEMY",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558137",
            "telephone_number": "704-873-1011",
            "fax_number": "704-832-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIUM SPRINGS HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPPELMEYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-872-4157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL099017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301442",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

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