NPIMap

Organization Active NPI

Nazareth Children's Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rockwell, NC
National Provider Identifier
1467574947
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
BOO117 Issued in NC
Legal business name
NAZARETH CHILDREN'S HOME
Practice address
725 Crescent Rd
Rockwell, NC 28138-7515
Phone
(704) 279-5556
Fax
(704) 279-5439
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Vernon L Walters Jr.
Title
President
Phone
(704) 279-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BOO117 NC Primary

Addresses

Primary practice location

725 Crescent Rd
Rockwell, NC 28138-7515

Mailing address

PO Box 1438
Rockwell, NC 28138-1438
Phone (704) 279-5556

National Provider Directory

National Provider Directory
Tax ID family
Carolina Counseling and Consultation6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1467574947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1438",
            "city": "ROCKWELL",
            "state": "NC",
            "postal_code": "281381438",
            "telephone_number": "704-279-5556",
            "fax_number": "704-279-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CRESCENT RD",
            "city": "ROCKWELL",
            "state": "NC",
            "postal_code": "281387515",
            "telephone_number": "704-279-5556",
            "fax_number": "704-279-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-279-5556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "BOO117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.