NPIMap

Organization Active NPI

Alcohol and Drug Services of Guilford, Inc.

  • Community/Behavioral Health Agency
  • Burlington, NC
National Provider Identifier
1386782522
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALCOHOL AND DRUG SERVICES OF GUILFORD, INC.
Practice address
259 S Graham Hopedale Rd
Suite 101
Burlington, NC 27217-4319
Phone
(336) 601-8922
NPI assigned
Feb 1, 2007
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Mr. Ron C. Rau Jr., MBA
Title
President
Phone
(336) 882-2125

Specialties & licenses 1

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

Addresses

Primary practice location

259 S Graham Hopedale Rd
Suite 101
Burlington, NC 27217-4319

Mailing address

301 E Washington St
Suite 101
Greensboro, NC 27401-2993
Phone (336) 333-6860

Other identifiers 2

IdentifierTypeStateIssuer
6005605MedicaidNC
8301009MedicaidNC

Other names 1

  • ADS-Burlington Other name

National Provider Directory

National Provider Directory
Tax ID family
Ads-Burlington7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

259 S Graham Hopedale Rd
Ste 101
Burlington, NC 27217
Phone (336) 601-8922

301 E Washington St
Ste 101
Greensboro, NC 27401
Phone (336) 333-6860

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1386782522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012993",
            "telephone_number": "336-333-6860",
            "fax_number": "336-275-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 S GRAHAM HOPEDALE RD",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272174319",
            "telephone_number": "336-601-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL AND DRUG SERVICES OF GUILFORD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-882-2125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005605",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADS-Burlington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.