NPIMap

Organization Active NPI

Direccare Behavioral Services, Inc.

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1437308293
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIRECCARE BEHAVIORAL SERVICES, INC.
Practice address
3555C N Roberts Ave
Lumberton, NC 28360-9084
Phone
(910) 738-1818
Fax
(910) 738-1817
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mr. Antonio McMillian
Title
Co-Owner
Phone
(910) 738-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3555C N Roberts Ave
Lumberton, NC 28360-9084

Mailing address

PO Box 2441
Lumberton, NC 28359-2441
Phone (910) 738-1818

National Provider Directory

National Provider Directory
Tax ID family
Direccare Behavioral Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3555C N Roberts Ave
Lumberton, NC 28360
Phone (910) 738-1818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1437308293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2441",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283592441",
            "telephone_number": "910-738-1818",
            "fax_number": "910-738-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555C N ROBERTS AVE",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609084",
            "telephone_number": "910-738-1818",
            "fax_number": "910-738-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECCARE BEHAVIORAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-738-1818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.