NPIMap

Organization Active NPI

Sampson'S Family Support, LLC

  • Community/Behavioral Health Agency
  • Pembroke, NC
National Provider Identifier
1366586331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAMPSON'S FAMILY SUPPORT, LLC
Practice address
16 Stanley Rd
Pembroke, NC 28372-8540
Phone
(910) 521-9553
NPI assigned
Feb 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Sheree L Sampson
Title
Owner
Phone
(910) 827-1169

National Provider Directory

National Provider Directory
Tax ID family
Chaparral Youth Services II5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

16 Stanley Rd
Pembroke, NC 28372-8540

Mailing address

16 Stanley Rd
Pembroke, NC 28372-8540

Other names 1

NPPES NPI Registry
  • chaparral youth services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366586331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STANLEY RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STANLEY RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728540",
            "telephone_number": "910-521-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON'S FAMILY SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-827-1169",
        "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": "chaparral youth services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.