Organization Active NPI

Reaching Independence & Self Empowerment

  • Developmentally Disabled Services Day Training Agency
  • Creswell, NC
National Provider Identifier
1487838538
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
REACHING INDEPENDENCE & SELF EMPOWERMENT
Practice address
316 US Highway 64 W
Creswell, NC 27928-9020
Phone
(252) 797-4020
NPI assigned
Dec 26, 2007
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mrs. Cynthia Annette Brown, A.S
Title
Human Resource Coordinator
Phone
(252) 217-3844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

316 US Highway 64 W
Creswell, NC 27928-9020

Mailing address

316 US Highway 64 W
Creswell, NC 27928-9020
Phone (252) 797-4020

National Provider Directory

National Provider Directory

Locations

316 US Highway 64 W
Creswell, NC 27928
Phone (252) 797-4020

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1487838538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 US HIGHWAY 64 W",
            "city": "CRESWELL",
            "state": "NC",
            "postal_code": "279289020",
            "telephone_number": "252-797-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 US HIGHWAY 64 W",
            "city": "CRESWELL",
            "state": "NC",
            "postal_code": "279289020",
            "telephone_number": "252-797-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING INDEPENDENCE & SELF EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "HUMAN RESOURCE COORDINATOR",
        "authorized_official_telephone_number": "252-217-3844",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A.S"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creswell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.