Active NPI
Macbill,Inc.
- Mental Illness Community Based Residential Treatment Facility
- Fayetteville, NC
National Provider Identifier
1689062473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- MHL-026-955
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Harlee Mac Group Home -1
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Fayetteville, NC
- NPI 1154719946
-
- Mental Illness Community Based Residential Treatment Facility
- Kinston, NC
- NPI 1518355379
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Kinston, NC
- NPI 1720465594
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.