NPIMap

Organization Active NPI

Alberta Professional Serviceds

  • Foster Care Agency
  • Greensboro, NC
National Provider Identifier
1649414442
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
ALBERTA PROFESSIONAL SERVICEDS
Practice address
3107 S Elm Eugene St
Building a
Greensboro, NC 27406-5201
Phone
(336) 273-2640
Fax
(336) 273-6522
NPI assigned
Apr 23, 2009
Last updated
Apr 2, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBERTA PROFESSIONAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Mr. Derek Mitchell, BS, QP
Title
Operations Manager
Phone
(336) 273-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X NU Primary

Addresses

Primary practice location

3107 S Elm Eugene St
Building a
Greensboro, NC 27406-5201

Mailing address

PO Box 14884
Greensboro, NC 27415-4884
Phone (336) 273-2640

National Provider Directory

National Provider Directory
Tax ID family
Alberta Professional Serviceds9 organizations share this tax ID, including this one
Part of
Alberta Professional Serviceds

Other organizations with this tax ID 8

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

Locations

3107 S Elm Eugene St
Ste A
Greensboro, NC 27406
Phone (336) 273-2640

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1649414442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14884",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154884",
            "telephone_number": "336-273-2640",
            "fax_number": "336-273-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 S ELM EUGENE ST",
            "address_2": "BUILDING A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065201",
            "telephone_number": "336-273-2640",
            "fax_number": "336-273-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTA PROFESSIONAL SERVICEDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBERTA PROFESSIONAL SERVICES",
        "enumeration_date": "2009-04-23",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "336-273-2640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, QP"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.