Peidmont Rresidential Services Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

007768715 Issued in SC

Legal business name

PEIDMONT RRESIDENTIAL SERVICES INC

Practice address

7540 Forest Oak Dr
Denver, NC 28037-8224

Phone

(704) 966-0145

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert Jr. Stewart

Title

President

Phone

(704) 591-1854

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1396991865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 FOREST OAK DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378224",
            "telephone_number": "704-966-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 FOREST OAK DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378224",
            "telephone_number": "704-966-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEIDMONT RRESIDENTIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JR.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-591-1854",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "007768715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Denver, NC
• Providers in Denver, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.