Olive Ward Chapman
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Winterville, NC
NPI 1255146239 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1255146239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Practice address
- 517 Vernon White Rd
Winterville, NC 28590-8691 - Phone
- (252) 412-7372
- NPI assigned
- Feb 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCDJ Enterprises, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes | ||
| Respite Care | 385H00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X |
Addresses
Primary practice location
517 Vernon White Rd
Winterville, NC 28590-8691
Mailing address
517 Vernon White Rd
Winterville, NC 28590-8691
Phone (252) 412-7372
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All providers in Winterville, NC · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.