Truly Blessed Residential, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

TRULY BLESSED RESIDENTIAL, LLC

Practice address

7824 Pittsboro Goldston Rd
Bear Creek, NC 27207-9551

Phone

(919) 898-4112

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latoya Scriven McMillerNPI 1467025270

Title

Owner/QP

Phone

(910) 729-9659

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latoya McMiller

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bear Creek, NC
  • NPI 1467025270
  NPD Authorized official

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1508539594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273310384",
            "telephone_number": "910-729-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 PITTSBORO GOLDSTON RD",
            "city": "BEAR CREEK",
            "state": "NC",
            "postal_code": "272079551",
            "telephone_number": "919-898-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRULY BLESSED RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "MCMILLER",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "SCRIVEN",
        "authorized_official_title_or_position": "OWNER/QP",
        "authorized_official_telephone_number": "910-729-9659"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Walters Harman, CNM
• Latoya McMiller
• Vickie Minter, PHELBOTOMIST
• Scare, Inc.
• Cynthia Glendora Smith, PHARMD
• Mitchell Vangelder, RD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Bear Creek, NC
• Providers in Bear Creek, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.