Organization Active NPI

KD Support Services

Doing business as Joyful Too

  • Psychiatric Residential Treatment Facility
  • Forest City, NC
National Provider Identifier
1255792016
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
MHL-081-113 Issued in NC
Legal business name
KD SUPPORT SERVICES
Doing business as
Joyful Too
Practice address
126 Pine St
Forest City, NC 28043-4587
Phone
(828) 245-2540
Fax
(828) 245-2540
NPI assigned
Mar 8, 2016
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Kenneth Dellinger, BS;QP
Title
Director of Operations
Phone
(828) 245-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X MHL-081-113 NC Primary

Addresses

Primary practice location

126 Pine St
Forest City, NC 28043-4587

Mailing address

158 US Highway 221a
Forest City, NC 28043-5600
Phone (828) 245-4011

Other names 1

  • Joyful Too Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KD Support Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1255792016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 US HIGHWAY 221A",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280435600",
            "telephone_number": "828-245-4011",
            "fax_number": "828-245-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PINE ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280434587",
            "telephone_number": "828-245-2540",
            "fax_number": "828-245-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "828-245-4011",
        "authorized_official_credential": "BS;QP"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": "MHL-081-113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joyful Too",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.