NPIMap

Organization Active NPI

Suws of the Carolinas

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Old Fort, NC
National Provider Identifier
1740470798
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-059-032 Issued in NC
Legal business name
SUWS OF THE CAROLINAS
Practice address
363 Graphite Rd
Old Fort, NC 28762-9455
Phone
(828) 668-7590
Fax
(828) 668-3162
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Miss Karen Nilsen
Title
Administrative Assistant
Phone
(828) 668-7590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-059-032 NC Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X MHL-059-032 NC

Addresses

Primary practice location

363 Graphite Rd
Old Fort, NC 28762-9455

Mailing address

363 Graphite Rd
Old Fort, NC 28762-9455
Phone (828) 668-7590

National Provider Directory

National Provider Directory
Tax ID family
Suws of the Carolinas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1740470798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 GRAPHITE RD",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287629455",
            "telephone_number": "828-668-7590",
            "fax_number": "828-668-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 GRAPHITE RD",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287629455",
            "telephone_number": "828-668-7590",
            "fax_number": "828-668-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUWS OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "NILSEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "828-668-7590",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-059-032",
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NC",
            "license": "MHL-059-032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Fort, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.