Kirby Falls Commnity Development

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KIRBY FALLS COMMNITY DEVELOPMENT

Practice address

7001 Corfu PL
Wendell, NC 27591-6720

Phone

(919) 366-9181

Fax

(919) 366-1090

NPI assigned

Jul 10, 2007

Last updated

Aug 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Kirby

Title

Owner

Phone

(919) 366-9181

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kirby Falls Commnity Development2 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.

• Kirby Falls Community Development

  • Adult Care Home Facility
  • Wendell, NC
  • NPI 1740486505
  NPD tax ID

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1750589958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORFU PL",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916720",
            "telephone_number": "919-366-9181",
            "fax_number": "919-366-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CORFU PL",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916720",
            "telephone_number": "919-366-9181",
            "fax_number": "919-366-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY FALLS COMMNITY DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-366-9181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "PROVIDER NUMBER",
            "identifier": "3408222",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Family Care Home II
• Journeys in Mental Health & Wellness, PLLC
• K. Jasinski, D.M.D., P.C. (Dental Care of Wendell Falls)
• K. Kevin Neshat, DDS, MD, PA (Wendell Family Dentistry)
• Katherine H. Peppers DNP
• Kirby Falls Community Development
• Robert Richard Labusohr, DDS
• Life Changing Counseling, LLC
• Lifelink DME
• Sylvia Wood Lockamy

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wendell, NC
• Providers in Wendell, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.