Joels Place Adult Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-026-818 Issued in NC

Legal business name

JOELS PLACE ADULT HOME

Practice address

6739 Shad CT
Stedman, NC 28391-9448

Phone

(910) 484-6005

Fax

(910) 401-1010

NPI assigned

Jan 5, 2007

Last updated

Dec 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alean McQueen Love, R.N.

Title

Director of Operations

Phone

(910) 978-6083

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Joel's Place Adult Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Joel's Place Adult Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Stedman, NC
  • NPI 1578748224
  NPD tax ID

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1295882751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 SHAD CT",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283919448",
            "telephone_number": "910-484-6005",
            "fax_number": "910-401-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 SHAD CT",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283919448",
            "telephone_number": "910-484-6005",
            "fax_number": "910-401-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOELS PLACE ADULT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ALEAN",
        "authorized_official_middle_name": "MCQUEEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "910-978-6083",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-026-818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayes Chiropractic Care, PLLC
• Dannie Marion Hayes, RPH
• Jared Daniel Hayes, DC
• Keithan Ray James
• Joel's Place Adult Home
• Jane Sharpe Johnson, PA-C
• Carl King, RN
• Deloise S Matos, RDH
• Willie Kay McDuffie, RN
• Richard Avery McKinley, D.C.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stedman, NC
• Providers in Stedman, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.