NPIMap

Organization Active NPI

Susie'S Place for Community Support

  • Community/Behavioral Health Agency
  • Mebane, NC
National Provider Identifier
1538309182
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3747P1801X Issued in NC
Legal business name
SUSIE'S PLACE FOR COMMUNITY SUPPORT
Practice address
1101 S Fifth St
Mebane, NC 27302-9182
Phone
(336) 380-0772
Fax
(336) 270-6303
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Mr. Lorenzo Moore
Title
Managing Employee
Phone
(336) 380-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3747P1801X NC Primary

Addresses

Primary practice location

1101 S Fifth St
Mebane, NC 27302-9182

Mailing address

PO Box 5144
Burlington, NC 27216-5144
Phone (336) 380-0772

Other names 1

  • T & C Property Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hearts of Gold4 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": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1538309182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5144",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272165144",
            "telephone_number": "336-380-0772",
            "fax_number": "336-270-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029182",
            "telephone_number": "336-380-0772",
            "fax_number": "336-270-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSIE'S PLACE FOR COMMUNITY SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "336-380-0772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "3747P1801X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T & C Property Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.