NPIMap

Organization Active NPI

CRC Ed Treatment, LLC

Doing business as Carolina House

  • Mental Illness Community Based Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1376630533
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CRC ED TREATMENT, LLC
Doing business as
Carolina House
Practice address
176 Lassiter Homestead Rd
Durham, NC 27713-6835
Phone
(919) 372-7942
Fax
(919) 484-0451
NPI assigned
Oct 9, 2006
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Brian P Farley
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary
Psychiatric Residential Treatment Facility 323P00000X MHL019041 NC

Addresses

Primary practice location

176 Lassiter Homestead Rd
Durham, NC 27713-6835

Mailing address

6100 Tower Cir Ste 1000
Franklin, TN 37067-1509
Phone (615) 861-6000

Other practice location 1

7990 Nc Highway 751
Durham, NC 27713-6852
Phone (919) 864-1004

Other practice location 2

1340 Sunday Dr Ste 105
Raleigh, NC 27607-5196
Phone (919) 864-1004

Other practice location 3

7200 Nc Highway 751
Durham, NC 27713-6838
Phone (919) 864-1004

Other names 1

  • Carolina House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CRC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

7200 NC 751 Hwy
Durham, NC 27713
Phone (919) 759-6077

7990 NC 751 Hwy
Durham, NC 27713
Phone (919) 864-1004

1340 Sunday Dr
#105
Raleigh, NC 27607
Phone (919) 233-5246

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1376630533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIR STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671509",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 LASSITER HOMESTEAD RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136835",
            "telephone_number": "919-372-7942",
            "fax_number": "919-484-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7990 Nc Highway 751",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136852",
            "country_code": "US",
            "telephone_number": "919-864-1004",
            "fax_number": "877-275-7813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Sunday Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276075196",
            "country_code": "US",
            "telephone_number": "919-864-1004",
            "fax_number": "877-275-7813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Nc Highway 751",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136838",
            "country_code": "US",
            "telephone_number": "919-864-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRC ED TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": "MHL019041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.