Irving Family Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

IRVING FAMILY HOME

Doing business as

Irving Family Home

Practice address

112 Lance CT
Jacksonville, NC 28546-8640

Phone

(910) 455-1241

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Victoria Ann Irving

Title

Owner

Phone

(910) 455-1241

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Irving Family Home Doing business as

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831224849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LANCE CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468640",
            "telephone_number": "910-455-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LANCE CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468640",
            "telephone_number": "910-455-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-455-1241",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409556",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irving Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iquolioc Inc.
• Iquolioc Inc.
• Iquolioc, Inc.
• Iquolioc, Inc.
• Sacha Brooke Irons, RBT
• Vankendra Isaacs
• Mahmoud A Issa, MD
• Samantha Ivey, DPT
• William Nicholas Ivey
• J. Thomas Stack, PH.D., PA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.