NPIMap

Organization Active NPI

Sierra's Residential Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Spring Lake, NC
National Provider Identifier
1710160759
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-043-039 Issued in NC
Legal business name
SIERRA'S RESIDENTIAL SERVICES, INC.
Practice address
21 Lanexa Rd
Spring Lake, NC 28390-8274
Phone
(910) 497-4096
NPI assigned
Dec 13, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SIERRA'S RESIDENTIAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Scottie Jeffery Vanhook, LCSWNPI 1639307127
Title
Clinical Director/President
Phone
(910) 257-1156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-043-039 NC Primary

Addresses

Primary practice location

21 Lanexa Rd
Spring Lake, NC 28390-8274

Mailing address

PO Box 655
Lillington, NC 27546-0655
Phone (910) 257-1156

Other identifiers 1

IdentifierTypeStateIssuer
6603401MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Sierra's Residential Services8 organizations share this tax ID, including this one
Part of
Sierra's Residential Services

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1710160759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275460655",
            "telephone_number": "910-257-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LANEXA RD",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283908274",
            "telephone_number": "910-497-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA'S RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA'S RESIDENTIAL SERVICES, INC.",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "VANHOOK",
        "authorized_official_first_name": "SCOTTIE",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "910-257-1156",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-043-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603401",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.