NPIMap

Organization Active NPI

Barium Springs Home for Children

  • Psychiatric Residential Treatment Facility
  • Statesville, NC
National Provider Identifier
1598048225
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
MHL-049-087 Issued in NC
Legal business name
BARIUM SPRINGS HOME FOR CHILDREN
Practice address
153 Barium Springs Drive
Statesville, NC 28677
Phone
(704) 873-1011
Fax
(704) 832-2253
NPI assigned
Sep 20, 2011
Last updated
Jul 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Celeste Inez Dominguez
Title
Ceo
Phone
(704) 873-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X MHL-049-087 NC Primary

Addresses

Primary practice location

153 Barium Springs Drive
Statesville, NC 28677

Mailing address

507 Courthouse Dr
Wilkesboro, NC 28697-2926
Phone (336) 667-3333

Other identifiers 2

IdentifierTypeStateIssuer
MHL-049-087OtherNCDHSR
3404582MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Barium Springs Home for Children58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

153 Barium Springs Dr
Statesville, NC 28677

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1598048225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 COURTHOUSE DR",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972926",
            "telephone_number": "336-667-3333",
            "fax_number": "336-667-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BARIUM SPRINGS DRIVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-873-1011",
            "fax_number": "704-832-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIUM SPRINGS HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-873-2211"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": "MHL-049-087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHSR",
            "identifier": "MHL-049-087",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404582",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.