Organization Active NPI

TRG Health Care Systems LLC

  • Community/Behavioral Health Agency
  • Franklinton, NC
National Provider Identifier
1609189083
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRG HEALTH CARE SYSTEMS LLC
Practice address
3366 U.S. Highway 1
Franklinton, NC 27525
Phone
(252) 312-8207
Fax
(919) 324-3918
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Eulanda Elliott
Title
President
Phone
(919) 925-3604

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X

Addresses

Primary practice location

3366 U.S. Highway 1
Franklinton, NC 27525

Mailing address

PO Box 1207
Wake Forest, NC 27588-1207
Phone (919) 488-7195

Other names 3

  • Foundation Health Doing business as
  • Foundation Health Center for Children Doing business as
  • Medic One Transport Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Onecare Behavioral Health System7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

90 Asheland Ave
Ste A
Asheville, NC 28801

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1609189083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881207",
            "telephone_number": "919-488-7195",
            "fax_number": "919-392-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 U.S. HIGHWAY 1",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "27525",
            "telephone_number": "252-312-8207",
            "fax_number": "919-324-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRG HEALTH CARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "EULANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-925-3604"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foundation Health Center for Children",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medic One Transport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medic One Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.