NPIMap

Organization Active NPI

Vision'S Adolescence Community Support

  • Community/Behavioral Health Agency
  • Reidsville, NC
National Provider Identifier
1528101656
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VISION'S ADOLESCENCE COMMUNITY SUPPORT
Practice address
1060 N Scales St
Reidsville, NC 27320-2224
Phone
(336) 342-1136
Fax
(336) 342-1196
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Mr. Gregory Lamont Hopkins, B.S.,Q.P.
Title
Qualified Professional, Owner
Phone
(336) 342-1136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

1060 N Scales St
Reidsville, NC 27320-2224

Mailing address

1060 N Scales St
Reidsville, NC 27320-2224
Phone (336) 342-1136

National Provider Directory

National Provider Directory
Tax ID family
Visions Adolescence Care Facility Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1528101656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 N SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273202224",
            "telephone_number": "336-342-1136",
            "fax_number": "336-342-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 N SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273202224",
            "telephone_number": "336-342-1136",
            "fax_number": "336-342-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION'S ADOLESCENCE COMMUNITY SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "QUALIFIED PROFESSIONAL, OWNER",
        "authorized_official_telephone_number": "336-342-1136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S.,Q.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.