Organization Active NPI

Triad Healthcare Services 1

Doing business as Triad Healthcare Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1427701036
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
TRIAD HEALTHCARE SERVICES 1
Doing business as
Triad Healthcare Services LLC
Practice address
915 Scott St
Burlington, NC 27215-6831
Phone
(919) 672-5815
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Mr. Byron White, QPNPI 1922158880
Title
Director
Phone
(919) 672-5815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

915 Scott St
Burlington, NC 27215-6831

Mailing address

PO Box 3334
Burlington, NC 27215-0334
Phone (919) 672-5815

Other names 1

  • Triad Healthcare Services LLC Doing business as

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": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1427701036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3334",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272150334",
            "telephone_number": "919-672-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SCOTT ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156831",
            "telephone_number": "919-672-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD HEALTHCARE SERVICES 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-672-5815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Healthcare Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 2, 2022; 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.