Organization Active NPI

Macbill,Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1689062473
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-026-955 Issued in NC
Legal business name
MACBILL,INC.
Practice address
5740 Longview Dr
Fayetteville, NC 28306-8567
Phone
(252) 526-7781
Fax
(919) 882-0916
NPI assigned
Dec 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Ms. Tamaria McCollum
Title
Owner
Phone
(252) 526-7781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-026-955 NC Primary

Addresses

Primary practice location

5740 Longview Dr
Fayetteville, NC 28306-8567

Mailing address

PO Box 1444
Kinston, NC 28503-1444
Phone (252) 526-7781

Other names 1

  • Harlee Mac Group Home IV Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harlee Mac Group Home -14 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5740 Longview Dr
Fayetteville, NC 28306
Phone (252) 526-7781

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1689062473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1444",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031444",
            "telephone_number": "252-526-7781",
            "fax_number": "919-882-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 LONGVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283068567",
            "telephone_number": "252-526-7781",
            "fax_number": "919-882-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACBILL,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "TAMARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-526-7781",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-026-955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harlee Mac Group Home IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.