NPIMap

Organization Active NPI

New Destinations, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1639424179
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NEW DESTINATIONS, INC.
Practice address
4710 Arbor Rd
Fayetteville, NC 28311-1603
Phone
(910) 920-2361
Fax
(910) 920-2389
NPI assigned
Jul 20, 2012
Last updated
Jul 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Susan M Kincaid
Title
Director
Phone
(828) 413-3786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

4710 Arbor Rd
Fayetteville, NC 28311-1603

Mailing address

PO Box 287
Rutherford College, NC 28671-0287
Phone (919) 773-2706

National Provider Directory

National Provider Directory
Tax ID family
New Destinations Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1639424179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710287",
            "telephone_number": "919-773-2706",
            "fax_number": "980-225-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 ARBOR RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111603",
            "telephone_number": "910-920-2361",
            "fax_number": "910-920-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DESTINATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-413-3786"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.