Hicks House of Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-041-1026 Issued in NC

Legal business name

HICKS HOUSE OF CARE

Practice address

2611 Zola Dr
Greensboro, NC 27405-2613

Phone

(336) 681-1653

NPI assigned

Apr 5, 2012

Organization subpart

Yes

Parent organization

HICKS HOUSE OF CAREAs reported in NPPES

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

Authorized official

Name

Mr. Derrick Hicks

Title

Owners

Phone

(336) 681-1653

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1689930547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 ZOLA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274052613",
            "telephone_number": "336-681-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 ZOLA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274052613",
            "telephone_number": "336-681-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKS HOUSE OF CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HICKS HOUSE OF CARE",
        "enumeration_date": "2012-04-05",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNERS",
        "authorized_official_telephone_number": "336-681-1653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-041-1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HHC Integrated Client Services LLC
• Dillon Walker Hiatt, DPT
• Julie Marie Hiatt, AU.D.
• Patricia Marie Hickham, MS, LPCA, NCC
• William H. Hickling, M.D.
• India Hicks-Cleveland
• Annette Hicks
• Keyona Nicole Hicks
• Larry W. Hicks
• Roselyn Marie Hicks, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.