NPIMap

Organization Active NPI

Cedar Tree Ministries, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Shallotte, NC
National Provider Identifier
1457574436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-010-054 Issued in NC
Legal business name
CEDAR TREE MINISTRIES, INC
Practice address
1034 Brick Landing Rd SW
Shallotte, NC 28470-5358
Phone
(910) 846-5635
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Saundra R Fanti
Title
Administrator
Phone
(910) 846-5635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-010-054 NC Primary

Addresses

Primary practice location

1034 Brick Landing Rd SW
Shallotte, NC 28470-5358

Mailing address

1515 Morgan Rd SW
Supply, NC 28462-3135

National Provider Directory

National Provider Directory
Tax ID family
Cedar Tree Ministries Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457574436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MORGAN RD SW",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284623135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 BRICK LANDING RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284705358",
            "telephone_number": "910-846-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR TREE MINISTRIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANTI",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-846-5635"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-010-054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.