Classic Care Family Services Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MKL041647 Issued in NC

Legal business name

CLASSIC CARE FAMILY SERVICES INC.

Practice address

1118 Grecade St
Greensboro, NC 27408-8710

Phone

(336) 601-3298

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Regina R Ratliff

Title

Director

Phone

(336) 601-3298

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1770622524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78026",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274278026",
            "telephone_number": "336-601-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 GRECADE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088710",
            "telephone_number": "336-601-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CARE FAMILY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-601-3298",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MKL041647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604068",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Clarke, RN
• Leah Clarke, MS, NCC
• Nettie Rose Clarke, MS., CRC., LPC.
• Za'Myria Clarke
• Classic Care Family Services II LLC
• Classique Residential Services-LLC
• Jennifer Clausell
• Donna Clavell-O'Gara, CSAC
• Clayton Care Services
• Allyson Renee Clayton

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.