NPIMap

Organization Active NPI

Trails Carolina LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lake Toxaway, NC
National Provider Identifier
1831501675
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
27G.5200 Issued in NC
Legal business name
TRAILS CAROLINA LLC
Practice address
500 Winding Gap Rd
Lake Toxaway, NC 28747-8786
Phone
(828) 885-5920
Fax
(828) 885-5922
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Ms. Graham Shannonhouse
Title
Executive Director
Phone
(828) 885-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 27G.5200 NC Primary

Addresses

Primary practice location

500 Winding Gap Rd
Lake Toxaway, NC 28747-8786

Mailing address

500 Winding Gap Rd
Lake Toxaway, NC 28747-8786
Phone (828) 885-5920

National Provider Directory

National Provider Directory

Locations

500 Winding Gap Rd
Lake Toxaway, NC 28747
Phone (828) 329-5837

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1831501675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WINDING GAP RD",
            "city": "LAKE TOXAWAY",
            "state": "NC",
            "postal_code": "287478786",
            "telephone_number": "828-885-5920",
            "fax_number": "828-885-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WINDING GAP RD",
            "city": "LAKE TOXAWAY",
            "state": "NC",
            "postal_code": "287478786",
            "telephone_number": "828-885-5920",
            "fax_number": "828-885-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILS CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "SHANNONHOUSE",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-885-5920",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "27G.5200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Toxaway, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.