Organization Active NPI

Vance Family Life Services Inc,

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1811120876
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VANCE FAMILY LIFE SERVICES INC,
Practice address
147 Crowder LN
Henderson, NC 27537-6336
Phone
(252) 915-5383
NPI assigned
Aug 25, 2009
Last updated
Aug 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Ms. Elethia Baskerville
Title
Secretary
Phone
(252) 915-5383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

147 Crowder LN
Henderson, NC 27537-6336

Mailing address

147 Crowder LN
Henderson, NC 27537-6336
Phone (252) 915-5383

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1811120876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CROWDER LN",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275376336",
            "telephone_number": "252-915-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CROWDER LN",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275376336",
            "telephone_number": "252-915-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE FAMILY LIFE SERVICES INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "BASKERVILLE",
        "authorized_official_first_name": "ELETHIA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "252-915-5383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.