NPIMap

Organization Active NPI

Anchorage Place

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1710145487
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-041-867 Issued in NC
Legal business name
ANCHORAGE PLACE
Practice address
3336 Spring St
Greensboro, NC 27405-3827
Phone
(336) 392-0489
Fax
(336) 294-8432
NPI assigned
May 29, 2008
Organization subpart
Yes
Parent organization
ALTERNATIVE RESIDENTIAL YOUTH RESOURCES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Samuel Parrish
Title
Ex. Director/Owner
Phone
(336) 392-0489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-041-867 NC Primary

Addresses

Primary practice location

3336 Spring St
Greensboro, NC 27405-3827

Mailing address

PO Box 41013
Greensboro, NC 27404-1013
Phone (336) 392-0489

Other names 1

  • Alternative Residential Youth Resources, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alternative Residential Youth Resources2 organizations share this tax ID, including this one
Part of
Alternative Residential Youth Resources

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1710145487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41013",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274041013",
            "telephone_number": "336-392-0489",
            "fax_number": "336-294-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 SPRING ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053827",
            "telephone_number": "336-392-0489",
            "fax_number": "336-294-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE PLACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTERNATIVE RESIDENTIAL YOUTH RESOURCES, INC.",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "EX. DIRECTOR/OWNER",
        "authorized_official_telephone_number": "336-392-0489"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Residential Youth Resources, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.