Active NPI
Amblecare, Inc.
- Developmentally Disabled Services Day Training Agency
- Snow Hill, NC
National Provider Identifier
1235259698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- AMBLECARE, INC.
- Practice address
- 1 Industrial Dr
Snow Hill, NC 28580-1334 - Phone
- (252) 747-5252
- Fax
- (252) 747-4244
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Donnell Bobby Buckner, BAQP
- Title
- Ceo
- Phone
- (252) 747-5252
National Provider Directory
National Provider Directory- Tax ID family
- Amblecare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Snow Hill, NC
- NPI 1649391129
Locations
1 Industrial Dr
Snow Hill, NC 28580
Phone (252) 747-5252
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1 Industrial Dr
Snow Hill, NC 28580-1334
Mailing address
1 Industrial Dr
Snow Hill, NC 28580-1334
Phone (252) 747-5252
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408580 | Medicaid | NC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2013.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1235259698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDUSTRIAL DR",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285801334",
"telephone_number": "252-747-5252",
"fax_number": "252-747-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 INDUSTRIAL DR",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285801334",
"telephone_number": "252-747-5252",
"fax_number": "252-747-4244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBLECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "BUCKNER",
"authorized_official_first_name": "DONNELL",
"authorized_official_middle_name": "BOBBY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "252-747-5252",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BAQP"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408580",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snow Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.