Tia Hart Community Recovery Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TIA HART COMMUNITY RECOVERY PROGRAM

Practice address

2188 A US 401 Business
Raeford, NC 28376

Phone

(910) 565-3063

Fax

(910) 565-3463

NPI assigned

Apr 13, 2016

Organization subpart

Yes

Parent organization

TIA HART COMMUNITY RECOVERY PROGRAM INC.As reported in NPPES

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

Authorized official

Name

Ms. Shirley Hart

Title

Ceo/President

Phone

(910) 273-6137

Specialties & licenses 1

Addresses

Other names 1

• Hart Outpatient Treatment Center Other name

Part of

Tia Hart Community Recovery Program

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1306200647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283761089",
            "telephone_number": "910-565-3063",
            "fax_number": "910-565-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 A US 401 BUSINESS",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "28376",
            "telephone_number": "910-565-3063",
            "fax_number": "910-565-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIA HART COMMUNITY RECOVERY PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIA HART COMMUNITY RECOVERY PROGRAM INC.",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "910-273-6137",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hart Outpatient Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelsey Jo Thompson
• Mark Stephen Thompson, DDS
• Rose Thompson
• Scott Thompson, PHARMD
• Tina Lorraine Thompson, PTA
• Tillers in Christ
• Tillman Transit Services LLC
• Lu Evelyn Jacobs Tillman, LCSW, LCASA, TF-CBT
• Leo Ernani Tobias Tindoc, DPT
• TLD LLC

• Community/Behavioral Health Agency in Raeford, NC
• Providers in Raeford, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.