Organization Active NPI

Three Springs, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pittsboro, NC
National Provider Identifier
1497788665
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
MHL019004 Issued in NC
Legal business name
THREE SPRINGS, INC
Practice address
2480 Hadley Mill Rd
Pittsboro, NC 27312-7832
Phone
(919) 542-1104
Fax
(919) 542-5565
NPI assigned
Jul 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Brooke E Balch
Title
Cfo
Phone
(256) 880-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL019004 NC Primary

Addresses

Primary practice location

2480 Hadley Mill Rd
Pittsboro, NC 27312-7832

Mailing address

PO Box 1370
Pittsboro, NC 27312-1370
Phone (919) 542-1104

Other identifiers 1

IdentifierTypeStateIssuer
6603027MedicaidNC

Other names 1

  • Three Springs of North Carolina Other name

National Provider Directory

National Provider Directory
Tax ID family
Three Springs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497788665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1370",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273121370",
            "telephone_number": "919-542-1104",
            "fax_number": "919-542-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 HADLEY MILL RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273127832",
            "telephone_number": "919-542-1104",
            "fax_number": "919-542-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE SPRINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALCH",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-880-3339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL019004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603027",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Springs of North Carolina",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsboro, 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.