NPIMap

Organization Active NPI

One Love Periodic Services

  • Community/Behavioral Health Agency
  • Morganton, NC
National Provider Identifier
1609145374
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ONE LOVE PERIODIC SERVICES
Practice address
110 S Sterling St
Morganton, NC 28655-3483
Phone
(828) 433-4567
Fax
(828) 433-4576
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Stevie Wideman
Title
Ceo
Phone
(828) 433-4567

Specialties & licenses 1

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

Addresses

Primary practice location

110 S Sterling St
Morganton, NC 28655-3483

Mailing address

110 S Sterling St
Morganton, NC 28655-3483
Phone (828) 433-4567

Other identifiers 6

IdentifierTypeStateIssuer
3410218MedicaidNC
8703220MedicaidNC
5916270MedicaidNC
6008242MedicaidNC
8301457HMedicaidNC
8301457VMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
One Love Periodic Services17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1609145374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553483",
            "telephone_number": "828-433-4567",
            "fax_number": "828-433-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553483",
            "telephone_number": "828-433-4567",
            "fax_number": "828-433-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE LOVE PERIODIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "WIDEMAN",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-433-4567"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410218",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703220",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916270",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008242",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301457H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301457V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.