NPIMap

Organization Active NPI

Specialized Treatment and Affiliated Resources, Inc

  • Case Management Agency
  • Wendell, NC
National Provider Identifier
1831245489
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SPECIALIZED TREATMENT AND AFFILIATED RESOURCES, INC
Practice address
375 E 3Rd St Ste 202
Wendell, NC 27591-9708
Phone
(919) 365-9096
Fax
(919) 365-9097
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Mrs. Sharon Evette Moore
Title
Director
Phone
(919) 365-9096

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC Primary
Home Health Agency 251E00000X HC3515 NC

Addresses

Primary practice location

375 E 3Rd St Ste 202
Wendell, NC 27591-9708

Mailing address

375 E. Third Street Suite 202
Wendell, NC 27591
Phone (919) 365-9096

Other identifiers 2

IdentifierTypeStateIssuer
6601584MedicaidNC
3418259MedicaidNC

Other names 1

  • STAARS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Staars - Washington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

375 E Third St
Ste 202
Wendell, NC 27591
Phone (919) 365-9096

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1831245489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E. THIRD STREET SUITE 202",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "27591",
            "telephone_number": "919-365-9096",
            "fax_number": "919-365-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E 3RD ST STE 202",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919708",
            "telephone_number": "919-365-9096",
            "fax_number": "919-365-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED TREATMENT AND AFFILIATED RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-365-9096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601584",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAARS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wendell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.