Organization Active NPI

Sipes Orchard Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Conover, NC
National Provider Identifier
1710026679
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-018063 Issued in NC
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6603256MedicaidNC
6603275MedicaidNC
8301368MedicaidNC
8301368RMedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.