Active NPI
Ollane and Associates Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Fayetteville, NC
National Provider Identifier
1245379874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL-026-776
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603964 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.