Active NPI
Levan Place
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Reidsville, NC
National Provider Identifier
1851624910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- LEVAN PLACE
- Practice address
- 4278 Ashland Rd
Reidsville, NC 27320-0509 - Phone
- (336) 520-7687
- NPI assigned
- Sep 8, 2009
- 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
- Wendy Paul
- Title
- Board Secretary
- Phone
- (336) 520-7687
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
4278 Ashland Rd
Reidsville, NC 27320-0509
Mailing address
PO Box 393
Reidsville, NC 27323-0393
Phone (336) 520-7687
National Provider Directory
National Provider Directory- Tax ID family
- Hlee Programs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1144515032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275868800000",
"number": "1851624910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273230393",
"telephone_number": "336-520-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4278 ASHLAND RD",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273200509",
"telephone_number": "336-520-7687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVAN PLACE",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-08",
"last_updated": "2010-06-07",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "BOARD SECRETARY",
"authorized_official_telephone_number": "336-520-7687"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.