NPIMap

Organization Active NPI

I Can & Associates, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1467620518
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-047-055 Issued in NC
Legal business name
I CAN & ASSOCIATES, INC
Practice address
421 Sparrow Dr
Fayetteville, NC 28306-8232
Phone
(910) 860-9787
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Mrs. Shannon Battle, M.A
Title
Director, Owner
Phone
(910) 860-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-047-055 NC Primary

Addresses

Primary practice location

421 Sparrow Dr
Fayetteville, NC 28306-8232

Mailing address

PO Box 25433
Fayetteville, NC 28314-5007
Phone (910) 860-9787

Other identifiers 1

IdentifierTypeStateIssuer
6603277MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Ican Associates Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1467620518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25433",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145007",
            "telephone_number": "910-860-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SPARROW DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283068232",
            "telephone_number": "910-860-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CAN & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DIRECTOR, OWNER",
        "authorized_official_telephone_number": "910-860-9787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-047-055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603277",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.