Active NPI
M D M D Services, Inc.
- Child Intellectual and/or Developmental Disabilities Respite Care
- Raeford, NC
National Provider Identifier
1750567939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.