NPIMap

Organization Active NPI

Direccare Behavioral Services, Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1376781674
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIRECCARE BEHAVIORAL SERVICES, INC
Practice address
506 E 22ND St
Lumberton, NC 28358-3920
Phone
(910) 738-1818
Fax
(910) 738-1817
NPI assigned
Jan 26, 2009
Last updated
Jan 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Antonio McMillian
Title
Director
Phone
(910) 738-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

506 E 22ND St
Lumberton, NC 28358-3920

Mailing address

506 E 22ND St
Lumberton, NC 28358-3920
Phone (910) 738-1818

National Provider Directory

National Provider Directory
Tax ID family
Direccare Behavioral Services8 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.

Locations

506 E 22nd St
Lumberton, NC 28358
Phone (910) 738-1818

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1376781674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E 22ND ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583920",
            "telephone_number": "910-738-1818",
            "fax_number": "910-738-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E 22ND ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583920",
            "telephone_number": "910-738-1818",
            "fax_number": "910-738-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECCARE BEHAVIORAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-738-1818"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.