Organization Active NPI

Motivational Residential Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1417462342
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-001-252 Issued in NC
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.