NPIMap

Organization Active NPI

Adess Residential Services, Inc.

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1790917565
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-001-185 Issued in NC
Legal business name
ADESS RESIDENTIAL SERVICES, INC.
Practice address
2504 New Garden Rd E
Greensboro, NC 27455-1823
Phone
(336) 545-7191
Fax
(336) 545-7192
NPI assigned
Aug 12, 2009
Last updated
Dec 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Mr. Chivis Adams
Title
President
Phone
(336) 681-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-001-185 NC Primary

Addresses

Primary practice location

2504 New Garden Rd E
Greensboro, NC 27455-1823

Mailing address

2419 Old Towne Dr
Greensboro, NC 27455-3439
Phone (336) 545-9779

Other names 1

  • Adess Day Treatment Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Adess Residential Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2504 New Garden Rd E
Greensboro, NC 27455
Phone (336) 545-7191

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1790917565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 OLD TOWNE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553439",
            "telephone_number": "336-545-9779",
            "fax_number": "336-282-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 NEW GARDEN RD E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551823",
            "telephone_number": "336-545-7191",
            "fax_number": "336-545-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADESS RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHIVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-681-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-001-185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adess Day Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.