NPIMap

Organization Active NPI

Great Expectations Mental Health Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1285821082
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL026838 Issued in NC
Legal business name
GREAT EXPECTATIONS MENTAL HEALTH SERVICES, INC.
Practice address
6611 Carloway Dr
Fayetteville, NC 28304-2768
Phone
(910) 860-3325
Fax
(910) 860-3345
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mr. Anthony Charles Packer
Title
Owner/ President
Phone
(910) 860-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL026838 NC Primary

Addresses

Primary practice location

6611 Carloway Dr
Fayetteville, NC 28304-2768

Mailing address

2151 Skibo Rd
Suite 100
Fayetteville, NC 28314-0252
Phone (910) 860-3325

Other identifiers 1

IdentifierTypeStateIssuer
6603429MedicaidNC

Other names 1

  • Great Expectations Residential Services, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Great Expectations Mental Health Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1285821082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 SKIBO RD",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140252",
            "telephone_number": "910-860-3325",
            "fax_number": "910-860-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 CARLOWAY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042768",
            "telephone_number": "910-860-3325",
            "fax_number": "910-860-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT EXPECTATIONS MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "PACKER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "910-860-3325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL026838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603429",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Expectations Residential Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.