NPIMap

Organization Active NPI

Golden Opportunity Homes, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1497899124
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
MHL-026-696 Issued in NC
Legal business name
GOLDEN OPPORTUNITY HOMES, INC
Practice address
5628 Birch Rd
Fayetteville, NC 28304-4118
Phone
(910) 221-4547
Fax
(910) 482-4665
NPI assigned
Feb 16, 2007
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
Valerie Maxine Coleman
Title
Administrative Director
Phone
(910) 797-5154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-026-696 NC Primary

Addresses

Primary practice location

5628 Birch Rd
Fayetteville, NC 28304-4118

Mailing address

PO Box 9279
Fayetteville, NC 28311-9083
Phone (910) 488-8777

National Provider Directory

National Provider Directory
Tax ID family
Golden Opportunity Homes 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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497899124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9279",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119083",
            "telephone_number": "910-488-8777",
            "fax_number": "910-482-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 BIRCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044118",
            "telephone_number": "910-221-4547",
            "fax_number": "910-482-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OPPORTUNITY HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "910-797-5154"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-026-696",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.