NPIMap

Organization Active NPI

Tanjer House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brevard, NC
National Provider Identifier
1285019471
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL088026 Issued in NC
Legal business name
TANJER HOUSE
Practice address
260 Oak Park Dr
Brevard, NC 28712-3022
Phone
(828) 884-2550
Fax
(828) 884-3102
NPI assigned
Jul 29, 2015
Organization subpart
Yes
Parent organization
TRANSYLVANIA VOCATIONAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Carla Hill
Title
Program Director
Phone
(828) 884-3195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL088026 NC Primary

Addresses

Primary practice location

260 Oak Park Dr
Brevard, NC 28712-3022

Mailing address

PO Box 1115
Brevard, NC 28712-1115
Phone (828) 884-3195

Other identifiers 1

IdentifierTypeStateIssuer
3408915MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Transylvania Vocational Services Inc3 organizations share this tax ID, including this one
Part of
Transylvania Vocational Services Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1285019471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1115",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287121115",
            "telephone_number": "828-884-3195",
            "fax_number": "828-884-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 OAK PARK DR",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123022",
            "telephone_number": "828-884-2550",
            "fax_number": "828-884-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANJER HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSYLVANIA VOCATIONAL SERVICES",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "828-884-3195"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL088026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408915",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.