Organization Active NPI

Levan Place

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Reidsville, NC
National Provider Identifier
1851624910
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Jun 7, 2010

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)CodeLicenseStatePrimary
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 Programs2 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.

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.

Verify at the official NPI Registry.