Organization Active NPI

Scare, Inc.

  • Case Management Agency
  • Bear Creek, NC
National Provider Identifier
1184813628
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
3157717 Issued in NC
Legal business name
SCARE, INC.
Practice address
688 Hanner Town Rd
Bear Creek, NC 27207-9255
Phone
(919) 837-2438
NPI assigned
Oct 22, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Clyde Octavis Harris, EDD
Title
Owner
Phone
(919) 837-2438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 3157717 NC Primary

Addresses

Primary practice location

688 Hanner Town Rd
Bear Creek, NC 27207-9255

Mailing address

688 Hanner Town Rd
Bear Creek, NC 27207-9255
Phone (919) 837-2438

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1184813628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 HANNER TOWN RD",
            "city": "BEAR CREEK",
            "state": "NC",
            "postal_code": "272079255",
            "telephone_number": "919-837-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 HANNER TOWN RD",
            "city": "BEAR CREEK",
            "state": "NC",
            "postal_code": "272079255",
            "telephone_number": "919-837-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "OCTAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-837-2438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "3157717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear Creek, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.