NPIMap

Organization Active NPI

I Can and Associates

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1801070339
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL042055 Issued in NC
Legal business name
I CAN AND ASSOCIATES
Practice address
7237 Godfrey Dr
Fayetteville, NC 28303-2425
Phone
(910) 860-9787
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Shannon Monique Battle, M.S
Title
Director
Phone
(910) 860-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL042055 NC Primary

Addresses

Primary practice location

7237 Godfrey Dr
Fayetteville, NC 28303-2425

Mailing address

PO Box 25433
Fayetteville, NC 28314-5007
Phone (910) 860-9787

Other identifiers 1

IdentifierTypeStateIssuer
6603161MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Ican Associates Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1801070339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25433",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145007",
            "telephone_number": "910-860-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7237 GODFREY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032425",
            "telephone_number": "910-860-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CAN AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-860-9787",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL042055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603161",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.