Residential Treatment Services of Alamance, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-001-016 Issued in NC

Legal business name

RESIDENTIAL TREATMENT SERVICES OF ALAMANCE, INC.

Practice address

136 Hall Ave
Burlington, NC 27217-2310

Phone

(336) 227-7417

Fax

(336) 227-4010

NPI assigned

Jun 19, 2013

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronnie Osborne

Title

Executive Director

Phone

(336) 227-2994

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Residential Treatment Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Residential Treatment Services

  • Substance Abuse Rehabilitation Facility
  • Burlington, NC
  • NPI 1275678690
  NPD tax ID
• Residential Treatment Services of Alamance

  • Adult Mental Health Clinic/Center
  • Burlington, NC
  • NPI 1972739126
  NPD tax ID

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1437598844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GLENDALE AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155017",
            "telephone_number": "336-227-2994",
            "fax_number": "336-227-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HALL AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172310",
            "telephone_number": "336-227-7417",
            "fax_number": "336-227-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL TREATMENT SERVICES OF ALAMANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-227-2994"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-001-016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804821",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803872",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301474",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Residential Treatment Services of Alamance
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• Raquel Rey
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• Community/Behavioral Health Agency in Burlington, NC
• Providers in Burlington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.