Active NPI
Kidspeace National Centers of North America, Inc.
- Community/Behavioral Health Agency
- Fuquay Varina, NC
National Provider Identifier
1568047223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC.
- Practice address
- 400 W Ransom St
Fuquay Varina, NC 27526-2434 - Phone
- (601) 799-8343
- NPI assigned
- Mar 15, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Michael Slack
- Title
- Ceo
- Phone
- (610) 799-8343
Corporate family (same tax ID) 25
National Provider Directory
- Tax ID family
- Kidspeace National Centers of North America Inc
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
400 W Ransom St
Fuquay Varina, NC 27526-2434
Mailing address
4085 Independence Dr
Schnecksville, PA 18078-2574
Phone (610) 799-8343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2021.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615766400000",
"number": "1568047223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4085 INDEPENDENCE DR",
"city": "SCHNECKSVILLE",
"state": "PA",
"postal_code": "180782574",
"telephone_number": "610-799-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W RANSOM ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262434",
"telephone_number": "601-799-8343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-12",
"status": "A",
"authorized_official_last_name": "SLACK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "610-799-8343"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.