Active NPI
Katam Inc
- Mental Illness Community Based Residential Treatment Facility
- Fayetteville, NC
National Provider Identifier
1316074826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 026579
- Legal business name
- KATAM INC
- Doing business as
- Ktam & Associates
- Practice address
- 731 McGilvary
Fayetteville, NC 28306-0955 - Phone
- (910) 630-2105
- Fax
- (910) 630-2105
- NPI assigned
- Feb 28, 2007
- 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
- Ms. Aristine Eady
- Title
- Administrator
- Phone
- (910) 630-2105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 026579 | NC | Primary |
Addresses
Primary practice location
731 McGilvary
Fayetteville, NC 28306-0955
Mailing address
P O Box 64955
Fayetteville, NC 28306-0955
Phone (910) 630-2105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603038 | Medicaid | NC |
Other names 1
- Ktam & Associates
National Provider Directory
National Provider Directory- Tax ID family
- Katam Associates Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Fayetteville, NC
- NPI 1124051867
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Fayetteville, NC
- NPI 1710022694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1316074826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 64955",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283060955",
"telephone_number": "910-630-2105",
"fax_number": "910-630-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 MCGILVARY",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283060955",
"telephone_number": "910-630-2105",
"fax_number": "910-630-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATAM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "EADY",
"authorized_official_first_name": "ARISTINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-630-2105",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NC",
"license": "026579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603038",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ktam & Associates",
"code": "3",
"type": "Doing Business As"
}
]
}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 Dec 3, 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.