NPIMap

Organization Active NPI

Innovative Programming Associates, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1194854075
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
INNOVATIVE PROGRAMMING ASSOCIATES, INC.
Practice address
4011 University Dr
Suite 204
Durham, NC 27707-2549
Phone
(919) 683-5672
Fax
(919) 403-0420
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Leslie Coley
Title
Billing Assistant
Phone
(910) 483-0734

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NC
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NC Primary
Substance Abuse Rehabilitation Facility 324500000X NC

Addresses

Primary practice location

4011 University Dr
Suite 204
Durham, NC 27707-2549

Mailing address

111 Lamon St Ste 201
Fayetteville, NC 28301-4957
Phone (910) 483-0734

Other identifiers 5

IdentifierTypeStateIssuer
8301288RMedicaidNC
8301288MedicaidNC
8301288GMedicaidNC
8301288BMedicaidNC
8301288HMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Innovative Programming Associates Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

4011 University Dr
Ste 204
Durham, NC 27707
Phone (919) 683-5672

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1194854075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAMON ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014957",
            "telephone_number": "910-483-0734",
            "fax_number": "910-483-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 UNIVERSITY DR",
            "address_2": "SUITE 204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072549",
            "telephone_number": "919-683-5672",
            "fax_number": "919-403-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROGRAMMING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "BILLING ASSISTANT",
        "authorized_official_telephone_number": "910-483-0734"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301288R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301288",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301288G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301288B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301288H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.