NPIMap

Organization Active NPI

Adess Residential Services, Inc.

Doing business as Brixton Place

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1801059191
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-041-863 Issued in NC
Legal business name
ADESS RESIDENTIAL SERVICES, INC.
Doing business as
Brixton Place
Practice address
3415 Cottage PL
Greensboro, NC 27455-2019
Phone
(336) 288-7685
NPI assigned
Jul 7, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Jessie M. Adams, BS, QP
Title
Exceutive Director
Phone
(336) 549-1580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-041-863 NC Primary

Addresses

Primary practice location

3415 Cottage PL
Greensboro, NC 27455-2019

Mailing address

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

Other names 1

  • Brixton Place Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1801059191",
    "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": "3415 COTTAGE PL",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552019",
            "telephone_number": "336-288-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADESS RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXCEUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-549-1580",
        "authorized_official_credential": "BS, QP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brixton Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 7, 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.