NPIMap

Organization Active NPI

Innovative Programing and Associates, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1750575270
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL032194 Issued in NC
Legal business name
INNOVATIVE PROGRAMING AND ASSOCIATES, INC
Practice address
4011 University Dr
Durham, NC 27707-2549
Phone
(910) 483-0734
Fax
(910) 483-9403
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Leslie Coley
Title
Billing Supervisor
Phone
(910) 483-0734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL032194 NC Primary

Addresses

Primary practice location

4011 University Dr
Durham, NC 27707-2549

Mailing address

111 Lamon St Ste 202
Fayetteville, NC 28301-4957
Phone (910) 483-0734

Other identifiers 1

IdentifierTypeStateIssuer
6603930MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Innovative Programming Associates Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

4011 University Dr
Durham, NC 27707
Phone (910) 483-0734

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1750575270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAMON ST STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014957",
            "telephone_number": "910-483-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072549",
            "telephone_number": "910-483-0734",
            "fax_number": "910-483-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROGRAMING AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "910-483-0734"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL032194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603930",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 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.