Active NPI
Branmarc, Inc. Family Services
- Mental Illness Community Based Residential Treatment Facility
- Gastonia, NC
National Provider Identifier
1467228072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- BRANMARC, INC. FAMILY SERVICES
- Practice address
- 3061 Crawford Ave
Gastonia, NC 28052-6076 - Phone
- (704) 671-4087
- NPI assigned
- Nov 27, 2023
- Last updated
- Jan 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Demico Graham
- Title
- Owner/Cco
- Phone
- (704) 957-1364
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X |
Addresses
Primary practice location
3061 Crawford Ave
Gastonia, NC 28052-6076
Mailing address
1926 Pine Mountain Rd
Charlotte, NC 28214-7617
Phone (980) 474-4032
National Provider Directory
National Provider Directory- Tax ID family
- Branmarc Inc Family Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1518097716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1467228072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 PINE MOUNTAIN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282147617",
"telephone_number": "980-474-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 CRAWFORD AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280526076",
"telephone_number": "704-671-4087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANMARC, INC. FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "DEMICO",
"authorized_official_title_or_position": "OWNER/CCO",
"authorized_official_telephone_number": "704-957-1364"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.