Ambleside, Inc

Key facts

NPI

1730219940

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

AMBLESIDE, INC

Practice address

1 Industrial Dr
Snow Hill, NC 28580-1334

Phone

(252) 747-5252

Fax

(252) 747-4244

NPI assigned

Mar 6, 2007

Organization subpart

No

Authorized official

Name

Caleb Edward Minshew

Title

Director of Operations

Phone

(252) 747-5252

Corporate family (same tax ID) 3

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

• Ambleside, Inc Emotionally Disturbed Childrens' Residential Treatment Facility · Snow Hill, NC · NPI 1548381007
  NPD tax ID
• Ambleside, Inc. Emotionally Disturbed Childrens' Residential Treatment Facility · Snow Hill, NC · NPI 1457472912
  NPD tax ID
• Ambleside, Inc. Case Management Agency · Snow Hill, NC · NPI 1467573915
  NPD tax ID

National Provider Directory

Tax ID family

Ambleside Inc (4 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 17, 2021.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1730219940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801334",
            "telephone_number": "252-747-5252",
            "fax_number": "252-747-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801334",
            "telephone_number": "252-747-5252",
            "fax_number": "252-747-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Henry Blvd",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285049009",
            "country_code": "US",
            "telephone_number": "252-747-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1932 Olde Colony Rd",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285047530",
            "country_code": "US",
            "telephone_number": "252-747-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272925832",
            "country_code": "US",
            "telephone_number": "336-224-2924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Indianhead Cir",
            "address_purpose": "LOCATION",
            "city": "Snow Hill",
            "state": "NC",
            "postal_code": "285802005",
            "country_code": "US",
            "telephone_number": "252-747-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Dogwood Ln",
            "address_purpose": "LOCATION",
            "city": "Snow Hill",
            "state": "NC",
            "postal_code": "285809356",
            "country_code": "US",
            "telephone_number": "252-747-8164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "292 Dogwood Ln",
            "address_purpose": "LOCATION",
            "city": "Snow Hill",
            "state": "NC",
            "postal_code": "285809356",
            "country_code": "US",
            "telephone_number": "252-747-8529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2535 Hwy 903 S",
            "address_purpose": "LOCATION",
            "city": "Snow Hill",
            "state": "NC",
            "postal_code": "285802048",
            "country_code": "US",
            "telephone_number": "252-747-2502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Darrel Rd",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "NC",
            "postal_code": "285517692",
            "country_code": "US",
            "telephone_number": "252-566-2825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 Agner Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272924429",
            "country_code": "US",
            "telephone_number": "336-224-2923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 Radio Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272928079",
            "country_code": "US",
            "telephone_number": "336-224-2923",
            "fax_number": "336-224-2924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1290 Mark Edwards Rd",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275347936",
            "country_code": "US",
            "telephone_number": "252-747-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1606 Salem Church Rd",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275301248",
            "country_code": "US",
            "telephone_number": "252-747-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Lindsey Cir",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273604456",
            "country_code": "US",
            "telephone_number": "336-224-2923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Ridgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272924741",
            "country_code": "US",
            "telephone_number": "336-224-2923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 Hodges Rd",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285041347",
            "country_code": "US",
            "telephone_number": "252-747-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBLESIDE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "MINSHEW",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "252-747-5252"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-040-005",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408611",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, NC

• Skylar Joy Alexander, LCSW, LCAS
• Angela Davis Allen, RN, ROS
• Amblecare, Inc.
• Amblecare, Inc.
• Ambleside, Inc
• Ambleside, Inc.
• Ambleside, Inc.
• Amedisys North Carolina, L.L.C.
• Artis Residential Care
• Aurelias Loving Hands LLC

All providers in Snow Hill, NC · Community/Behavioral Health Agency in North Carolina