Organization Active NPI

Hoke Co Association for Develop Disabled Inc.

  • Developmentally Disabled Services Day Training Agency
  • Raeford, NC
National Provider Identifier
1265528632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
47000035 Issued in NC
Legal business name
HOKE CO ASSOCIATION FOR DEVELOP DISABLED INC.
Practice address
305 Wooley St
Raeford, NC 28376-3236
Phone
(910) 875-5074
Fax
(910) 875-7694
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Jodi WillisNPI 1912186792
Title
Executive Director
Phone
(910) 875-5074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 47000035 NC Primary

Addresses

Primary practice location

305 Wooley St
Raeford, NC 28376-3236

Mailing address

305 Wooley St
Raeford, NC 28376-3236
Phone (910) 875-5074

Other identifiers 1

IdentifierTypeStateIssuer
8300027MedicaidNC

National Provider Directory

National Provider Directory

Locations

305 Wooley St
Raeford, NC 28376
Phone (910) 875-5074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265528632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WOOLEY ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763236",
            "telephone_number": "910-875-5074",
            "fax_number": "910-875-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WOOLEY ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763236",
            "telephone_number": "910-875-5074",
            "fax_number": "910-875-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOKE CO ASSOCIATION FOR DEVELOP DISABLED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-875-5074"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "47000035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300027",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, 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.