Active NPI
Positive Force of North Carolina Cam House1
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Greensboro, NC
National Provider Identifier
1679797443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL-041-700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603794 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.