NPIMap

Organization Active NPI

Twelve Oaks LLC

Doing business as Silver Ridge

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mills River, NC
National Provider Identifier
1649715517
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TWELVE OAKS LLC
Doing business as
Silver Ridge
Practice address
183 Old Turnpike Rd
Mills River, NC 28759
Phone
(828) 891-8227
Fax
(828) 350-1300
NPI assigned
Dec 30, 2016
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Chad HustedNPI 1477268225
Title
Manager
Phone
(770) 639-9657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

183 Old Turnpike Rd
Mills River, NC 28759

Mailing address

183 Old Turnpike Rd
Mills River, NC 28759-8776

Other names 1

  • Silver Ridge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Silver Ridge2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1649715517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 OLD TURNPIKE RD",
            "city": "MILLS RIVER",
            "state": "NC",
            "postal_code": "287598776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 OLD TURNPIKE RD",
            "city": "MILLS RIVER",
            "state": "NC",
            "postal_code": "28759",
            "telephone_number": "828-891-8227",
            "fax_number": "828-350-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE OAKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "HUSTED",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-639-9657"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Ridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mills River, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.