NPIMap

Organization Active NPI

United Family Network Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Willow Spring, NC
National Provider Identifier
1811031412
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-092576 Issued in NC
Legal business name
UNITED FAMILY NETWORK INC.
Practice address
9609 Kennebec Rd
Willow Spring, NC 27592-9417
Phone
(919) 639-1194
NPI assigned
Feb 16, 2007
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Mr. Chris Simmons I
Title
Executive Director
Phone
(910) 578-6806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-092576 NC Primary

Addresses

Primary practice location

9609 Kennebec Rd
Willow Spring, NC 27592-9417

Mailing address

9609 Kennebec Rd
Willow Spring, NC 27592-9417
Phone (919) 639-1194

Other identifiers 2

IdentifierTypeStateIssuer
6603685MedicaidNC
6603983MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
United Family Network 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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1811031412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 KENNEBEC RD",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275929417",
            "telephone_number": "919-639-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 KENNEBEC RD",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275929417",
            "telephone_number": "919-639-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FAMILY NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-578-6806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-092576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603685",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603983",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Spring, NC

Sources for this page

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