Organization Active NPI

Residential Treatment Services

  • Substance Abuse Rehabilitation Facility
  • Burlington, NC
National Provider Identifier
1275678690
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
MHL-001-016 Issued in NC
Legal business name
RESIDENTIAL TREATMENT SERVICES
Practice address
136 Hall Ave
Burlington, NC 27217-2310
Phone
(336) 227-2994
Fax
(336) 227-2996
NPI assigned
Feb 21, 2007
Last updated
Jun 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Mr. Ron Osborne
Title
Director
Phone
(336) 227-2994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MHL-001-016 NC Primary

Addresses

Primary practice location

136 Hall Ave
Burlington, NC 27217-2310

Mailing address

PO Box 427
Burlington, NC 27216-0427
Phone (336) 227-2994

Other identifiers 3

IdentifierTypeStateIssuer
8301474MedicaidNC
7804821MedicaidNC
7803872MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Residential Treatment Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1275678690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272160427",
            "telephone_number": "336-227-2994",
            "fax_number": "336-227-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HALL AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172310",
            "telephone_number": "336-227-2994",
            "fax_number": "336-227-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-227-2994",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL-001-016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301474",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804821",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803872",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.