Active NPI
Wake Behavioral & Human Services
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL092633
- 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, 2008
- 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
- Mrs. Charlmayne Seaberry Alston
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC00 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Kimberly Home
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raleigh, NC
- NPI 1427214956
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raleigh, NC
- NPI 1942483938
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raleigh, NC
- NPI 1942483938
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Knightdale, NC
- NPI 1619186970
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.