Active NPI
MBN & Associates
- Assisted Living Facility (Mental Illness)
- Louisburg, NC
National Provider Identifier
1851418412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- MHL035024
- Legal business name
- MBN & ASSOCIATES
- Practice address
- 909 N Bickett Blvd
Louisburg, NC 27549-2215 - Phone
- (919) 496-1899
- Fax
- (919) 496-1803
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Milltrene B Newell
- Title
- Executive Director
- Phone
- (919) 496-1899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | MHL035024 | NC | Primary |
Addresses
Primary practice location
909 N Bickett Blvd
Louisburg, NC 27549-2215
Mailing address
PO Box 1086
Louisburg, NC 27549-1086
Phone (919) 496-1899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804036 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- MBN Associates
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Louisburg, NC
- NPI 1326165671
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Louisburg, NC
- NPI 1942327507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851418412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1086",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275491086",
"telephone_number": "919-496-1899",
"fax_number": "919-496-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N BICKETT BLVD",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492215",
"telephone_number": "919-496-1899",
"fax_number": "919-496-1803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MBN & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NEWELL",
"authorized_official_first_name": "MILLTRENE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "919-496-1899"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NC",
"license": "MHL035024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804036",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisburg, NC
Sources for this page
- 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.