Organization Active NPI

Mitchell and Crandell Family Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bethel, NC
National Provider Identifier
1821270760
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-074-186 Issued in NC
Legal business name
MITCHELL AND CRANDELL FAMILY SERVICES
Practice address
7238 Main Street
Bethel, NC 27812-0982
Phone
(252) 825-9887
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Jerry Mitchell
Title
Owner
Phone
(252) 825-9887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-074-186 NC Primary

Addresses

Primary practice location

7238 Main Street
Bethel, NC 27812-0982

Mailing address

PO Box 982
Bethel, NC 27812-0982
Phone (252) 825-9887

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1821270760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278120982",
            "telephone_number": "252-825-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7238 MAIN STREET",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278120982",
            "telephone_number": "252-825-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL AND CRANDELL FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-825-9887"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-074-186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.