Organization Active NPI

Wake Behavioral & Human Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1285805515
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL092633 Issued in NC
Legal business name
WAKE BEHAVIORAL & HUMAN SERVICES
Practice address
6701 Litchford Rd
Raleigh, NC 27615-7112
Phone
(919) 798-8638
Fax
(919) 266-1347
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mrs. Charlmayne Seaberry AlstonNPI 1619186970
Title
Executive Director
Phone
(919) 798-8638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL092633 NC Primary

Addresses

Primary practice location

6701 Litchford Rd
Raleigh, NC 27615-7112

Mailing address

PO Box 41452
Raleigh, NC 27629-1452
Phone (919) 798-8638

Other identifiers 1

IdentifierTypeStateIssuer
NC00MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Kimberly Home3 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1285805515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41452",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276291452",
            "telephone_number": "919-798-8638",
            "fax_number": "919-266-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 LITCHFORD RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157112",
            "telephone_number": "919-798-8638",
            "fax_number": "919-266-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE BEHAVIORAL & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "CHARLMAYNE",
        "authorized_official_middle_name": "SEABERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-798-8638",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL092633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC00",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.