NPIMap

Organization Active NPI

Stevens Healthcare Agency, Inc.

Doing business as Sky Rizer's Family Center

  • Community/Behavioral Health Agency
  • Jacksonville, NC
National Provider Identifier
1710141122
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STEVENS HEALTHCARE AGENCY, INC.
Doing business as
Sky Rizer's Family Center
Practice address
824 Gum Branch Road
Suite N
Jacksonville, NC 28540-6269
Phone
(910) 938-7200
Fax
(910) 938-7201
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Mrs. Linda Freeman Stevens, BS, MA, QP, PHD
Title
Owner, President
Phone
(910) 938-7200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

824 Gum Branch Road
Suite N
Jacksonville, NC 28540-6269

Mailing address

824 Gum Branch Road
Suite N
Jacksonville, NC 28540-6269
Phone (910) 938-7200

Other identifiers 1

IdentifierTypeStateIssuer
8301546MedicaidNC

Other names 1

  • Sky Rizer's Family Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sky Rizer's Family Center4 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.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1710141122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 GUM BRANCH ROAD",
            "address_2": "SUITE N",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406269",
            "telephone_number": "910-938-7200",
            "fax_number": "910-938-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 GUM BRANCH ROAD",
            "address_2": "SUITE N",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406269",
            "telephone_number": "910-938-7200",
            "fax_number": "910-938-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS HEALTHCARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "FREEMAN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "910-938-7200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, MA, QP, PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301546",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sky Rizer's Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.