NPIMap

Organization Active NPI

Candii Homes Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Clinton, NC
National Provider Identifier
1861682064
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-082056 Issued in NC
Legal business name
CANDII HOMES INC
Practice address
100 Warsaw Road
Clinton, NC 28328-3518
Phone
(910) 592-7451
Fax
(910) 221-5479
NPI assigned
Jul 25, 2007
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Ms. Rosalina Teel, MHL082056NPI 1689890113
Title
Provider
Phone
(910) 592-7451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-082056 NC Primary
Community/Behavioral Health Agency 251S00000X MHL-082-056 NC

Addresses

Primary practice location

100 Warsaw Road
Clinton, NC 28328-3518

Mailing address

100 Warsaw Road
Clinton, NC 28328-3518
Phone (910) 592-7451

Other identifiers 2

IdentifierTypeStateIssuer
8301828MedicaidNC
7805715MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1861682064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WARSAW ROAD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283518",
            "telephone_number": "910-592-7451",
            "fax_number": "910-221-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARSAW ROAD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283518",
            "telephone_number": "910-592-7451",
            "fax_number": "910-221-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDII HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "TEEL",
        "authorized_official_first_name": "ROSALINA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "910-592-7451",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHL082056"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-082056",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-082-056",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301828",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805715",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.