Active NPI
T&S Homeplace
- Developmentally Disabled Services Day Training Agency
- Fayetteville, NC
National Provider Identifier
1760633762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- MHL-026-661
- Legal business name
- T&S HOMEPLACE
- Practice address
- 1808 Conover Dr
Fayetteville, NC 28304-4562 - Phone
- (910) 426-7992
- NPI assigned
- Oct 8, 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
- Shelbia Norris
- Title
- Owner- Adm.
- Phone
- (910) 323-3797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MHL-026-661 | NC | Primary |
Addresses
Primary practice location
1808 Conover Dr
Fayetteville, NC 28304-4562
Mailing address
1122 Cedar Creek Rd
Fayetteville, NC 28312-6544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804444 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- T S Homeplace
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Fayetteville, NC
- NPI 1588895288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1760633762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 CEDAR CREEK RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283126544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 CONOVER DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044562",
"telephone_number": "910-426-7992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T&S HOMEPLACE",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "NORRIS",
"authorized_official_first_name": "SHELBIA",
"authorized_official_title_or_position": "OWNER- ADM.",
"authorized_official_telephone_number": "910-323-3797"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NC",
"license": "MHL-026-661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804444",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.