Specialized Home Care Redevelopment, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL041806 Issued in NC

Legal business name

SPECIALIZED HOME CARE REDEVELOPMENT, INC

Practice address

1501 Friendly Chapel Rd
Greensboro, NC 27406-9044

Phone

(336) 697-5896

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Harold Sweeney

Title

Administrator

Phone

(336) 697-5896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1598944720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 FRIENDLY CHAPEL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 FRIENDLY CHAPEL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069044",
            "telephone_number": "336-697-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED HOME CARE REDEVELOPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-697-5896"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL041806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nishaun Spears, MSW
• Datriona Spears, MSW, QP
• James Reid Spears, MD
• Special K Services Inc.
• Specialized Children'S Care, Inc.
• Allison Speckhard, MS
• Spectramd, Inc.
• Spectrum Wellness
• Paul Wesley Spell, D.C.
• Roger Earl Spell, DC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.