NPIMap

Organization Active NPI

Visions Residential Healthcare Services

  • Mental Illness Community Based Residential Treatment Facility
  • Southern Pines, NC
National Provider Identifier
1376784017
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
063-078 Issued in NC
Legal business name
VISIONS RESIDENTIAL HEALTHCARE SERVICES
Practice address
845 S Gaines St
Southern Pines, NC 28387-4437
Phone
(910) 482-3513
Fax
(910) 482-3571
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Ms. Annie R Hasan, M.ED., QMHP
Title
Executive Director
Phone
(910) 482-3513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 063-078 NC Primary

Addresses

Primary practice location

845 S Gaines St
Southern Pines, NC 28387-4437

Mailing address

PO Box 9729
Fayetteville, NC 28311-9091
Phone (910) 482-3513

National Provider Directory

National Provider Directory
Tax ID family
Visions Residential Healthcare Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1376784017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9729",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119091",
            "telephone_number": "910-482-3513",
            "fax_number": "910-482-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S GAINES ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874437",
            "telephone_number": "910-482-3513",
            "fax_number": "910-482-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS RESIDENTIAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-482-3513",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., QMHP"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "063-078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.