NPIMap

Organization Active NPI

Corpus Christi Services, Inc.

Doing business as Acadiana House

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Parkton, NC
National Provider Identifier
1740325349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL078147 Issued in NC
Legal business name
CORPUS CHRISTI SERVICES, INC.
Doing business as
Acadiana House
Practice address
20 Acadiana Dr
Parkton, NC 28371-9050
Phone
(910) 858-1629
Fax
(910) 858-1604
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Cheryl Renee McRae
Title
President
Phone
(910) 735-2988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL078147 NC Primary

Addresses

Primary practice location

20 Acadiana Dr
Parkton, NC 28371-9050

Mailing address

PO Box 640
Parkton, NC 28371-0640
Phone (910) 735-2988

Other identifiers 1

IdentifierTypeStateIssuer
6603610MedicaidNC

Other names 1

  • Acadiana House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corpus Christi Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740325349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "PARKTON",
            "state": "NC",
            "postal_code": "283710640",
            "telephone_number": "910-735-2988",
            "fax_number": "910-735-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ACADIANA DR",
            "city": "PARKTON",
            "state": "NC",
            "postal_code": "283719050",
            "telephone_number": "910-858-1629",
            "fax_number": "910-858-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-735-2988",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL078147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadiana House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.