NPIMap

Organization Active NPI

Trinity Care of the Carolinas Incorporated

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Norwood, NC
National Provider Identifier
1659411593
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-084-050 Issued in NC
Legal business name
TRINITY CARE OF THE CAROLINAS INCORPORATED
Practice address
217 Anson Ave
Norwood, NC 28128-7434
Phone
(704) 474-0488
NPI assigned
Feb 8, 2007
Last updated
Dec 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Arloishia Everson
Title
Executive Director
Phone
(980) 581-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-084-050 NC Primary

Addresses

Primary practice location

217 Anson Ave
Norwood, NC 28128-7434

Mailing address

PO Box 646
Albemarle, NC 28002-0646

Other identifiers 1

IdentifierTypeStateIssuer
6604003MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Trinity Care of the Carolinas Incorporated4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1659411593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280020646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ANSON AVE",
            "city": "NORWOOD",
            "state": "NC",
            "postal_code": "281287434",
            "telephone_number": "704-474-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CARE OF THE CAROLINAS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "EVERSON",
        "authorized_official_first_name": "ARLOISHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "980-581-1240"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-084-050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604003",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.