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

Last updated

Apr 13, 2016By the provider in NPPES

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 HartNPI 1265058341

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

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.

• Shirley Hart, DIRECTOR

  • Addiction (Substance Use Disorder) Counselor
  • Raeford, NC
  • NPI 1265058341
  Authorized official Same address or phone

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.