Organization Active NPI

M D M D Services, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Raeford, NC
National Provider Identifier
1750567939
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
M D M D SERVICES, INC.
Practice address
120 N Main St
Raeford, NC 28376-2804
Phone
(910) 848-0001
Fax
(910) 848-0551
NPI assigned
Jan 17, 2008
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mrs. Deborah McMillan Evans, A.S. DEGREE HUMAN SE
Title
President
Phone
(910) 797-5642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

120 N Main St
Raeford, NC 28376-2804

Mailing address

120 N Main St
Raeford, NC 28376-2804
Phone (910) 848-0001

National Provider Directory

National Provider Directory

Locations

120 N Main St
Raeford, NC 28376
Phone (910) 848-0001

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1750567939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762804",
            "telephone_number": "910-848-0001",
            "fax_number": "910-848-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762804",
            "telephone_number": "910-848-0001",
            "fax_number": "910-848-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D M D SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MCMILLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-797-5642",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A.S. DEGREE HUMAN SE"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.