Organization Active NPI

T&S Homeplace

  • Developmentally Disabled Services Day Training Agency
  • Fayetteville, NC
National Provider Identifier
1760633762
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
MHL-026-661 Issued in NC
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

Updated by the provider on Oct 8, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7804444MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
T S Homeplace2 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.

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.

Verify at the official NPI Registry.