NPIMap

Organization Active NPI

Intensive Mental Care Inc

Doing business as Intensive Rehab- Health Service

  • Community/Behavioral Health Agency
  • Gatesville, NC
National Provider Identifier
1679705958
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTENSIVE MENTAL CARE INC
Doing business as
Intensive Rehab- Health Service
Practice address
102 West Mapel Street
Gatesville, NC 27938
Phone
(252) 426-1390
NPI assigned
Aug 20, 2009
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Valerie C Costen
Title
President
Phone
(252) 426-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

102 West Mapel Street
Gatesville, NC 27938

Mailing address

PO Box 130
Winfall, NC 27985-0130

Other names 1

  • Intensive Rehab- Health Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intensive Mental Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1679705958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "WINFALL",
            "state": "NC",
            "postal_code": "279850130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WEST MAPEL STREET",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "27938",
            "telephone_number": "252-426-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE MENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "COSTEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-426-1390"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intensive Rehab- Health Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gatesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.