Active NPI
TRG Health Care Systems LLC
- Community/Behavioral Health Agency
- Franklinton, NC
National Provider Identifier
1609189083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Clinical Social Worker | 1041C0700X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | |||
| Medical Physician Assistant | 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
- Foundation Health Center for Children
- Medic One Transport
National Provider Directory
National Provider Directory- Tax ID family
- Onecare Behavioral Health System
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Wake Forest, NC
- NPI 1043599087
-
- Community/Behavioral Health Agency
- Edenton, NC
- NPI 1316223993
-
- Community/Behavioral Health Agency
- Youngsville, NC
- NPI 1326368390
-
- Community/Behavioral Health Agency
- Franklinton, NC
- NPI 1639453210
-
- Community/Behavioral Health Agency
- Rocky Mount, NC
- NPI 1952601288
-
- Non-emergency Medical Transport (VAN)
- Youngsville, NC
- NPI 1992074314
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.