NPIMap

Organization Active NPI

Successful Transitions LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • High Point, NC
National Provider Identifier
1205094703
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL 041-866 Issued in NC
Legal business name
SUCCESSFUL TRANSITIONS LLC
Practice address
820 Mark St
High Point, NC 27260-5928
Phone
(336) 889-7515
Fax
(336) 889-7505
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Mrs. Eva L Washington, M.S. ED, CRC, LCAS-A
Title
Co-Director
Phone
(336) 312-7761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL 041-866 NC Primary

Addresses

Primary practice location

820 Mark St
High Point, NC 27260-5928

Mailing address

301 N Elm St
264
Greensboro, NC 27401-2083
Phone (336) 275-7973

Other identifiers 1

IdentifierTypeStateIssuer
6604313MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Successful Transitions LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1205094703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N ELM ST",
            "address_2": "264",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012083",
            "telephone_number": "336-275-7973",
            "fax_number": "336-272-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MARK ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605928",
            "telephone_number": "336-889-7515",
            "fax_number": "336-889-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL TRANSITIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "336-312-7761",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. ED, CRC, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL 041-866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604313",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.