Organization Active NPI

Ollane and Associates Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1245379874
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
MHL-026-776 Issued in NC
Legal business name
OLLANE AND ASSOCIATES INC.
Practice address
1032 Glen Reilly Dr
Fayetteville, NC 28314-5613
Phone
(910) 578-6806
Fax
(919) 331-0026
NPI assigned
Feb 6, 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
Mr. Chris Simmons I
Title
Secretary
Phone
(910) 578-6806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-026-776 NC Primary

Addresses

Primary practice location

1032 Glen Reilly Dr
Fayetteville, NC 28314-5613

Mailing address

9609 Kennebec Rd
Willow Spring, NC 27592-9417
Phone (910) 578-6806

Other identifiers 1

IdentifierTypeStateIssuer
6603964MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245379874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 KENNEBEC RD",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275929417",
            "telephone_number": "910-578-6806",
            "fax_number": "919-331-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 GLEN REILLY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145613",
            "telephone_number": "910-578-6806",
            "fax_number": "919-331-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLLANE AND ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "910-578-6806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-026-776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603964",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, 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.