Organization Active NPI

Alpha Delta Family Services GRP. Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hillsborough, NC
National Provider Identifier
1669624417
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6603634MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.