NPIMap

Organization Active NPI

Ambleside, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Snow Hill, NC
National Provider Identifier
1548381007
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-054-033 Issued in NC
Legal business name
AMBLESIDE, INC
Practice address
1 Industrial Dr
Snow Hill, NC 28580-1334
Phone
(252) 747-5252
Fax
(252) 747-4244
NPI assigned
Apr 3, 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
Douglas Finley
Title
VP Operations
Phone
(252) 747-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-054-033 NC Primary

Addresses

Primary practice location

1 Industrial Dr
Snow Hill, NC 28580-1334

Mailing address

1 Industrial Dr
Snow Hill, NC 28580-1334
Phone (252) 747-5252

Other identifiers 1

IdentifierTypeStateIssuer
6603338MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Ambleside 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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548381007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801334",
            "telephone_number": "252-747-5252",
            "fax_number": "252-747-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801334",
            "telephone_number": "252-747-5252",
            "fax_number": "252-747-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBLESIDE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "252-747-5252"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-054-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603338",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, 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.