NPIMap

Organization Active NPI

Sunlight Behavior Center, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1831100510
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL 026-777 Issued in NC
Legal business name
SUNLIGHT BEHAVIOR CENTER, INC.
Practice address
2030 Hoke Loop Rd
Fayetteville, NC 28314-6495
Phone
(910) 864-2443
Fax
(910) 864-2804
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Rachell Rahmaan
Title
Administrator
Phone
(910) 273-7844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL 026-777 NC Primary

Addresses

Primary practice location

2030 Hoke Loop Rd
Fayetteville, NC 28314-6495

Mailing address

2030 Hoke Loop Rd
Fayetteville, NC 28314-6495
Phone (910) 864-2443

Other identifiers 3

IdentifierTypeStateIssuer
8301471BMedicaidNC
8301471MedicaidNC
6603620MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Sunlight Behavior Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1831100510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 HOKE LOOP RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146495",
            "telephone_number": "910-864-2443",
            "fax_number": "910-864-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HOKE LOOP RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146495",
            "telephone_number": "910-864-2443",
            "fax_number": "910-864-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIGHT BEHAVIOR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "RAHMAAN",
        "authorized_official_first_name": "RACHELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-273-7844"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL 026-777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301471B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301471",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603620",
            "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 Jul 24, 2013; 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.