Active NPI
Motivational Residential Care
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Burlington, NC
National Provider Identifier
1417462342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL-001-252
- Legal business name
- MOTIVATIONAL RESIDENTIAL CARE
- Practice address
- 164 Graves St
Burlington, NC 27217-2628 - Phone
- (336) 409-5529
- NPI assigned
- Dec 14, 2017
- Last updated
- Mar 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Signal White
- Title
- Director
- Phone
- (336) 406-9959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-001-252 | NC | Primary |
Addresses
Primary practice location
164 Graves St
Burlington, NC 27217-2628
Mailing address
325 Meadowbrook Dr
Burlington, NC 27215-7525
Phone (336) 406-9959
Other practice location 1
164 Graves St
Burlington, NC 27217-2628
Phone (336) 409-5529
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Seattle, WA
- NPI 1962825489
Residential Treatment Facility, Intellectual and/Or Developmental Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1417462342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MEADOWBROOK DR",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272157525",
"telephone_number": "336-406-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 GRAVES ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172628",
"telephone_number": "336-409-5529"
}
],
"practiceLocations": [
{
"address_1": "164 Graves St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272172628",
"country_code": "US",
"telephone_number": "336-409-5529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOTIVATIONAL RESIDENTIAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-14",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "SIGNAL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "336-406-9959"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-001-252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
- Moses Cone Physician Services, Inc. (Alamance Surgical Associates)
- Moses Cone Physician Services, Inc. (Alamance Eye Center)
- Moses Cone Physician Services, Inc. (Alamance Gastroenterology)
- Bonita Jane Moss, M.S.W.,L.C.S.W
- Jo Ann Moss, RPH
- Mary Moutoux, PT, MS
- Moving Forward
- MPKG Restoring Families Effectively LLC
- Catherine Nichols Mueller, CPNP-PC
- Michael J. Muggli, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.