Organization Active NPI

Worthington Center

  • Early Intervention Provider Agency
  • Greensboro, NC
National Provider Identifier
1194070771
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
WORTHINGTON CENTER
Practice address
1537 Lovett St
Greensboro, NC 27403-3340
Phone
(336) 965-5922
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Marshall Worthington
Title
Supervisor
Phone
(336) 965-5922

Specialties & licenses 2

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

Addresses

Primary practice location

1537 Lovett St
Greensboro, NC 27403-3340

Mailing address

1537 Lovett St
Greensboro, NC 27403-3340

Other identifiers 1

IdentifierTypeStateIssuer
3419197MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Worthington Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1194070771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 LOVETT ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 LOVETT ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033340",
            "telephone_number": "336-965-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHINGTON CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "336-965-5922"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419197",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.