Organization Active NPI

Deliverance Outreach

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Asheville, NC
National Provider Identifier
1235272469
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
MHL011253 Issued in NC
Legal business name
DELIVERANCE OUTREACH
Doing business as
Restored Hope
Practice address
41 Imperial CT
Asheville, NC 28803-1812
Phone
(828) 225-6520
Fax
(828) 225-3762
NPI assigned
Feb 15, 2007
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
Ms. Karen M Cowan
Title
Administrator
Phone
(828) 225-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL011253 NC Primary

Addresses

Primary practice location

41 Imperial CT
Asheville, NC 28803-1812

Mailing address

65 Walton St
Asheville, NC 28801-4716
Phone (828) 225-6520

Other identifiers 1

IdentifierTypeStateIssuer
6603855MedicaidNC

Other names 1

  • Restored Hope Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235272469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALTON ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014716",
            "telephone_number": "828-225-6520",
            "fax_number": "828-225-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 IMPERIAL CT",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031812",
            "telephone_number": "828-225-6520",
            "fax_number": "828-225-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERANCE OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-225-6520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL011253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603855",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restored Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, 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.