NPIMap

Organization Active NPI

Childrens Advocacy Network LLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1356489363
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDRENS ADVOCACY NETWORK LLC
Practice address
526 Ruby LN
Gastonia, NC 28054-4930
Phone
(704) 868-5805
Fax
(704) 833-7076
NPI assigned
Feb 2, 2007
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Vickie McDuffie
Title
Reimbursement Coord
Phone
(704) 833-0154

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-036-285 NC
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

526 Ruby LN
Gastonia, NC 28054-4930

Mailing address

1371 E Garrison Blvd Ste a
Gastonia, NC 28054-5155
Phone (704) 833-0154

Other practice location 1

1371 E Garrison Blvd Ste A
Gastonia, NC 28054-5155
Phone (704) 833-0154

Other identifiers 2

IdentifierTypeStateIssuer
8300013BMedicaidNC
6604440MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Children's Advocacy Network LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1356489363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 E GARRISON BLVD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545155",
            "telephone_number": "704-833-0154",
            "fax_number": "704-833-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 RUBY LN",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544930",
            "telephone_number": "704-868-5805",
            "fax_number": "704-833-7076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1371 E Garrison Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545155",
            "country_code": "US",
            "telephone_number": "704-833-0154",
            "fax_number": "704-833-7076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDRENS ADVOCACY NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "MCDUFFIE",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "REIMBURSEMENT COORD",
        "authorized_official_telephone_number": "704-833-0154"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-036-285",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300013B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604440",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.