Active NPI
Sipes Orchard Home
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Conover, NC
National Provider Identifier
1710026679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL-018063
- Legal business name
- SIPES ORCHARD HOME
- Practice address
- 4431 County Home Rd
Conover, NC 28613-9641 - Phone
- (828) 256-5056
- Fax
- (828) 256-4031
- NPI assigned
- Feb 6, 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
- Mr. Brian L Phelps, ED.D
- Title
- Ceopresident
- Phone
- (828) 256-5056
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL-018065 | NC | |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-018080 | NC | |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-018063 | NC | Primary |
Addresses
Primary practice location
4431 County Home Rd
Conover, NC 28613-9641
Mailing address
4431 County Home Rd
Conover, NC 28613-9641
Phone (828) 256-5056
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603256 | Medicaid | NC | |
| 6603275 | Medicaid | NC | |
| 8301368 | Medicaid | NC | |
| 8301368R | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
4431 County Home Rd
Conover, NC 28613
Phone 8282563436 ext. 14
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1710026679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4431 COUNTY HOME RD",
"city": "CONOVER",
"state": "NC",
"postal_code": "286139641",
"telephone_number": "828-256-5056",
"fax_number": "828-256-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4431 COUNTY HOME RD",
"city": "CONOVER",
"state": "NC",
"postal_code": "286139641",
"telephone_number": "828-256-5056",
"fax_number": "828-256-4031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIPES ORCHARD HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PHELPS",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEOPRESIDENT",
"authorized_official_telephone_number": "828-256-5056",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ED.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL-018065",
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NC",
"license": "MHL-018080",
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NC",
"license": "MHL-018063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603256",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603275",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301368",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301368R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.