NPIMap

Organization Active NPI

R.J. Whitsett Residential Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1205038080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-041-653 Issued in NC
Legal business name
R.J. WHITSETT RESIDENTIAL SERVICES
Practice address
1210 Foxhaven Dr
Greensboro, NC 27455-8340
Phone
(336) 215-5900
Fax
(336) 656-9203
NPI assigned
Jun 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Robin Whitsett CriteNPI 1033320585
Title
Owner
Phone
(336) 215-5900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-041-653 NC Primary

Addresses

Primary practice location

1210 Foxhaven Dr
Greensboro, NC 27455-8340

Mailing address

PO Box 482
Browns Summit, NC 27214-0482
Phone (336) 215-5900

Other identifiers 1

IdentifierTypeStateIssuer
6603813MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
RJ Whitsett Residential Facility3 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.

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205038080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 482",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272140482",
            "telephone_number": "336-215-5900",
            "fax_number": "336-656-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 FOXHAVEN DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558340",
            "telephone_number": "336-215-5900",
            "fax_number": "336-656-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.J. WHITSETT RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRITE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "WHITSETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-215-5900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603813",
            "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 Aug 22, 2020; 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.