NPIMap

Organization Active NPI

Crse Advanced Placement Homes Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Winston Salem, NC
National Provider Identifier
1780869503
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-034-222 Issued in NC
Legal business name
CRSE ADVANCED PLACEMENT HOMES INC.
Practice address
5713 Haweswater Rd
Winston Salem, NC 27105-1458
Phone
(336) 722-1862
Fax
(336) 722-1863
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Mr. Christopher Ray Stewart
Title
President
Phone
(336) 722-1862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-034-222 NC Primary

Addresses

Primary practice location

5713 Haweswater Rd
Winston Salem, NC 27105-1458

Mailing address

5713 Haweswater Rd
Winston Salem, NC 27105-1458
Phone (336) 722-1862

Other identifiers 1

IdentifierTypeStateIssuer
6604241MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Crse Advanced Placement Homes Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1780869503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 HAWESWATER RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051458",
            "telephone_number": "336-722-1862",
            "fax_number": "336-722-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 HAWESWATER RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051458",
            "telephone_number": "336-722-1862",
            "fax_number": "336-722-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRSE ADVANCED PLACEMENT HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-722-1862",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-034-222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604241",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.