NPIMap

Organization Active NPI

Piedmont Area MH, DD, and Sa Area Authority

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Concord, NC
National Provider Identifier
1770797995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PIEDMONT AREA MH, DD, AND SA AREA AUTHORITY
Practice address
245 Le Phillip CT
Concord, NC 28025-2900
Phone
(704) 721-7000
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dennis Murphy
Title
Is Director
Phone
(704) 784-8411

Specialties & licenses 1

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

Addresses

Primary practice location

245 Le Phillip CT
Concord, NC 28025-2900

Mailing address

245 Le Phillip CT
Concord, NC 28025-2900

Other identifiers 1

IdentifierTypeStateIssuer
3404949MedicaidNC

Other names 1

  • PBH Other name

National Provider Directory

National Provider Directory
Tax ID family
PBH8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

245 Le Phillip Ct NE
Concord, NC 28025
Phone (704) 720-7770

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770797995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 LE PHILLIP CT",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 LE PHILLIP CT",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252900",
            "telephone_number": "704-721-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT AREA MH, DD, AND SA AREA AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "IS DIRECTOR",
        "authorized_official_telephone_number": "704-784-8411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404949",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PBH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.