Special Care

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

041-071 Issued in NC

Legal business name

SPECIAL CARE

Practice address

6113 Blue Lantern Rd
Gibsonville, NC 27249-8737

Phone

(336) 449-5690

Fax

(336) 449-4051

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Henry L. Simmons

Title

President

Phone

(336) 275-6266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1326372020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S ELM EUGENE ST",
            "address_2": "SUITE 'C'",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063634",
            "telephone_number": "336-275-6266",
            "fax_number": "336-275-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6113 BLUE LANTERN RD",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272498737",
            "telephone_number": "336-449-5690",
            "fax_number": "336-449-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-275-6266",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NC",
            "license": "041-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Intermediate Care Facility in Gibsonville, NC
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• Mental Illness Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.