Organization Active NPI

Amblecare, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Snow Hill, NC
National Provider Identifier
1235259698
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1 Industrial Dr
Snow Hill, NC 28580
Phone (252) 747-5252

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
3408580MedicaidNC

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.

Verify at the official NPI Registry.