Active NPI
Alpha Delta Family Services GRP. Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Hillsborough, NC
National Provider Identifier
1669624417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- ALPHA DELTA FAMILY SERVICES GRP. INC.
- Practice address
- 508 Hwy 86 N
Hillsborough, NC 27278 - Phone
- (919) 643-4004
- NPI assigned
- Oct 10, 2008
- Last updated
- Oct 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George Crews III
- Title
- Executive Director
- Phone
- (919) 630-6589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | NU | Primary |
Addresses
Primary practice location
508 Hwy 86 N
Hillsborough, NC 27278
Mailing address
7612 NC Hwy 49
Mebane, NC 27302-7519
Phone (336) 562-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603634 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
7612 N NC Highway 49
Mebane, NC 27302
Phone (336) 562-5300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223596800000",
"number": "1669624417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7612 NC HWY 49",
"city": "MEBANE",
"state": "NC",
"postal_code": "273027519",
"telephone_number": "336-562-5300",
"fax_number": "336-562-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 HWY 86 N",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "27278",
"telephone_number": "919-643-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA DELTA FAMILY SERVICES GRP. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A",
"authorized_official_last_name": "CREWS",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "919-630-6589",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603634",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.