Organization Active NPI

Positive Force of North Carolina Cam House1

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1679797443
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-041-700 Issued in NC
Legal business name
POSITIVE FORCE OF NORTH CAROLINA CAM HOUSE1
Practice address
8 Delwin CT
Greensboro, NC 27406-5170
Phone
(336) 274-1492
Fax
(336) 274-1492
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Ms. Dannae Lynn White
Title
Cepo
Phone
(336) 274-1492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-041-700 NC Primary

Addresses

Primary practice location

8 Delwin CT
Greensboro, NC 27406-5170

Mailing address

8 Delwin CT
Greensboro, NC 27406-5170
Phone (336) 274-1492

Other identifiers 1

IdentifierTypeStateIssuer
6603794MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1679797443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DELWIN CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065170",
            "telephone_number": "336-274-1492",
            "fax_number": "336-274-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DELWIN CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065170",
            "telephone_number": "336-274-1492",
            "fax_number": "336-274-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE FORCE OF NORTH CAROLINA CAM HOUSE1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DANNAE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEPO",
        "authorized_official_telephone_number": "336-274-1492",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-041-700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603794",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.