NPIMap

Organization Active NPI

Crse Advanced Placement Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Winston Salem, NC
National Provider Identifier
1619110665
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CRSE ADVANCED PLACEMENT HOMES, INC.
Practice address
1005 Kingstree Ridge Dr
Winston Salem, NC 27127-4940
Phone
(336) 287-8764
Fax
(336) 377-3337
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Mr. Christopher R Stewart
Title
Director/Owner
Phone
(336) 287-8764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NC Primary

Addresses

Primary practice location

1005 Kingstree Ridge Dr
Winston Salem, NC 27127-4940

Mailing address

2295 E 14TH St
Suite 400
Winston Salem, NC 27105-6804
Phone (336) 287-8764

Other names 1

  • Kingstree Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Crse Advanced Placement Homes Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1619110665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 E 14TH ST",
            "address_2": "SUITE 400",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271056804",
            "telephone_number": "336-287-8764",
            "fax_number": "336-377-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 KINGSTREE RIDGE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274940",
            "telephone_number": "336-287-8764",
            "fax_number": "336-377-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRSE ADVANCED PLACEMENT HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "336-287-8764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingstree Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.