NPIMap

Organization Active NPI

Towergate Youth and Family Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Rockingham, NC
National Provider Identifier
1205960291
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-060-822 Issued in NC
Legal business name
TOWERGATE YOUTH AND FAMILY SERVICES, INC.
Practice address
1219 Rockingham Rd
Rockingham, NC 28379-4983
Phone
(704) 701-2123
NPI assigned
Mar 14, 2007
Organization subpart
Yes
Parent organization
TOWERGATE YOUTH AN D FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mr. Brad Lessane
Title
VP Finance
Phone
(704) 701-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-060-822 NC Primary

Addresses

Primary practice location

1219 Rockingham Rd
Rockingham, NC 28379-4983

Mailing address

PO Box 822
Concord, NC 28026-0822
Phone (704) 701-2123

Other identifiers 4

IdentifierTypeStateIssuer
6603858MedicaidNC
8301758MedicaidNC
8301045MedicaidNC
8301759MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Towergate Youth and Family Services Inc8 organizations share this tax ID, including this one
Part of
Towergate Youth and Family Services Inc

Other organizations with this tax ID 7

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1205960291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280260822",
            "telephone_number": "704-701-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 ROCKINGHAM RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794983",
            "telephone_number": "704-701-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWERGATE YOUTH AND FAMILY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWERGATE YOUTH AN D FAMILY SERVICES",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "LESSANE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "704-701-2123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-060-822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603858",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301758",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301045",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301759",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.