Active NPI
Residential Treatment Services
- Substance Abuse Rehabilitation Facility
- Burlington, NC
National Provider Identifier
1275678690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- MHL-001-016
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301474 | Medicaid | NC | |
| 7804821 | Medicaid | NC | |
| 7803872 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Residential Treatment Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Burlington, NC
- NPI 1972739126
-
- Community/Behavioral Health Agency
- Burlington, NC
- NPI 1437598844
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
- Matthew Gordon Rein, M.D.
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- Renal Treatment Centers Mid Atlantic Inc (Glen Raven Dialysis)
- Renal Treatment Centers Mid Atlantic Inc (Burlington Dialysis)
- Renew Hair Loss Solutions
- Residential Treatment Services of Alamance
- Residential Treatment Services of Alamance, Inc.
- Resources for the Carolinas
- Revive Beauty & Drip Lounge, PLLC
- Revive Concierge & Wellness PLLC
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.