NPIMap

Organization Active NPI

Direccare Behavioral Services Inc.

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1740325463
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIRECCARE BEHAVIORAL SERVICES INC.
Practice address
63 Pridgen Rd
Lumberton, NC 28358-9726
Phone
(910) 608-0202
NPI assigned
Feb 20, 2007
Last updated
Mar 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Derick Marcel CoeNPI 1174775969
Title
Co-Owner
Phone
(910) 827-3992

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

63 Pridgen Rd
Lumberton, NC 28358-9726

Mailing address

63 Pridgen Rd
Lumberton, NC 28358-9726
Phone (910) 608-0202

National Provider Directory

National Provider Directory
Tax ID family
Direccare Behavioral Care Services Inc8 organizations share this tax ID, including this one

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1740325463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PRIDGEN RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283589726",
            "telephone_number": "910-608-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PRIDGEN RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283589726",
            "telephone_number": "910-608-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECCARE BEHAVIORAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "DERICK",
        "authorized_official_middle_name": "MARCEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-827-3992"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.