Organization Active NPI

Rapps Group Home, Inc

Doing business as Rapps Residential Services

  • Mental Illness Community Based Residential Treatment Facility
  • Candor, NC
National Provider Identifier
1407077639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL062017 Issued in NC
Legal business name
RAPPS GROUP HOME, INC
Doing business as
Rapps Residential Services
Practice address
132 Wiley St
Candor, NC 27229-9097
Phone
(910) 974-4980
Fax
(910) 974-7160
NPI assigned
May 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dawn Bogans
Title
Facility Manager
Phone
(910) 974-4980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL062017 NC Primary

Addresses

Primary practice location

132 Wiley St
Candor, NC 27229-9097

Mailing address

132 Wiley St
Candor, NC 27229-9097
Phone (910) 974-4980

Other identifiers 1

IdentifierTypeStateIssuer
6603690MedicaidNC

Other names 1

  • RAPPS RESIDENTIAL SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

132 Wiley Dr
Candor, NC 27229
Phone (910) 974-2015

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407077639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WILEY ST",
            "city": "CANDOR",
            "state": "NC",
            "postal_code": "272299097",
            "telephone_number": "910-974-4980",
            "fax_number": "910-974-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WILEY ST",
            "city": "CANDOR",
            "state": "NC",
            "postal_code": "272299097",
            "telephone_number": "910-974-4980",
            "fax_number": "910-974-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPPS GROUP HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGANS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "910-974-4980"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL062017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603690",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAPPS RESIDENTIAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Candor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.