NPIMap

Organization Active NPI

CRC Ed Treatment, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1740669308
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
019041 Issued in NC
Legal business name
CRC ED TREATMENT, LLC
Practice address
176 Lassiter Homestead Rd
Durham, NC 27713-6835
Phone
(919) 641-4397
Fax
(855) 731-0163
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Brian P. Farley
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 019041 NC Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

176 Lassiter Homestead Rd
Durham, NC 27713-6835

Mailing address

6100 Tower Cir Ste 1000
Franklin, TN 37067-1509
Phone (615) 861-6000

Other practice location 1

7200 Nc Highway 751
Durham, NC 27713-6838
Phone (919) 864-1004

Other practice location 2

7990 NC-751
Durham, NC 27713-6835
Phone (919) 864-1004

Other practice location 3

7200 Nc Highway 751
Durham, NC 27713-6838
Phone (919) 864-1004

Other names 1

  • Carolina House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CRC Ed Treatment LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1740669308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIR STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671509",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 LASSITER HOMESTEAD RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136835",
            "telephone_number": "919-641-4397",
            "fax_number": "855-731-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Nc Highway 751",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136838",
            "country_code": "US",
            "telephone_number": "919-864-1004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7990 NC-751",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136835",
            "country_code": "US",
            "telephone_number": "919-864-1004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Nc Highway 751",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136838",
            "country_code": "US",
            "telephone_number": "919-864-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRC ED TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "019041",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.