NPIMap

Organization Active NPI

Unc

  • Mental Illness Community Based Residential Treatment Facility
  • Chapel Hill, NC
National Provider Identifier
1366627937
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
068107 Issued in NC
Legal business name
UNC
Practice address
209 Conner Dr Apt 17
Chapel Hill, NC 27514-7023
Phone
(919) 960-3775
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Ms. Constance A Renz, LCSWNPI 1700912607
Title
Director
Phone
(919) 966-9803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 068107 NC Primary

Addresses

Primary practice location

209 Conner Dr Apt 17
Chapel Hill, NC 27514-7023

Mailing address

400 Roberson St
Carrboro, NC 27510-2367
Phone (919) 966-9803

Other identifiers 1

IdentifierTypeStateIssuer
8300699BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Center for Maternal Infant Health30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1366627937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROBERSON ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102367",
            "telephone_number": "919-966-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CONNER DR APT 17",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147023",
            "telephone_number": "919-960-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "RENZ",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-966-9803",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "068107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300699B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.