Johnson Center II

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL078197 Issued in NC

Legal business name

JOHNSON CENTER II

Practice address

111 Taylor St
Red Springs, NC 28377-1918

Phone

(910) 843-7007

Fax

(910) 843-7008

NPI assigned

Feb 4, 2008

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelia Ferguston, RN

Title

Executive Director

Phone

(910) 843-7007

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Johnson Center Homes 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.

• Johnson Center Homes, Inc

  • Community/Behavioral Health Agency
  • Red Springs, NC
  • NPI 1215087044
  NPD tax ID

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1245418052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283770844",
            "telephone_number": "910-843-7007",
            "fax_number": "910-843-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TAYLOR ST",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771918",
            "telephone_number": "910-843-7007",
            "fax_number": "910-843-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CENTER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "FERGUSTON",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-843-7007",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL078197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melba Hurley
• Douglas Jackson, DDS
• Sally J. Jacobs
• Willie Ray Jacobs, D.C.
• Johnson Center Homes, Inc
• Carol C Jones, RN
• Carolyn Strong Jones
• Jamie Jones, RN,MSN,FNP-C
• Jubilee Services, LLC
• KT Homecare LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Red Springs, NC
• Providers in Red Springs, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.