NPIMap

Organization Active NPI

Lord Is the Light

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1386956183
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-001-196 Issued in NC
Legal business name
LORD IS THE LIGHT
Practice address
2802 Eldermont St
Apt E
Burlington, NC 27215-6111
Phone
(336) 270-6217
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Ms. Kimberly Michelle Foust
Title
Owner
Phone
(336) 213-5830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-001-196 NC Primary

Addresses

Primary practice location

2802 Eldermont St
Apt E
Burlington, NC 27215-6111

Mailing address

2802 Eldermont St
Apt E
Burlington, NC 27215-6111
Phone (336) 270-6217

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1386956183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 ELDERMONT ST",
            "address_2": "APT E",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156111",
            "telephone_number": "336-270-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 ELDERMONT ST",
            "address_2": "APT E",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156111",
            "telephone_number": "336-270-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORD IS THE LIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "FOUST",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-213-5830",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-001-196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2010; 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.