Active NPI
Cedar Tree Ministries, Inc
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Wilmington, NC
National Provider Identifier
1881754927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL-065-182
- Legal business name
- CEDAR TREE MINISTRIES, INC
- Practice address
- 3507 Stratford Blvd
Wilmington, NC 28403-2634 - Phone
- (910) 313-1768
- NPI assigned
- Dec 11, 2006
- Last updated
- Aug 22, 2020
- 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
- Saundra R Fanti
- Title
- Administrator
- Phone
- (910) 846-5635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-065-182 | NC | Primary |
Addresses
Primary practice location
3507 Stratford Blvd
Wilmington, NC 28403-2634
Mailing address
1515 Morgan Road SW
Supply, NC 28462-3135
Phone (910) 846-5635
Other names 1
- JOSIE'S PLACE
National Provider Directory
National Provider Directory- Tax ID family
- Cedar Tree Ministries Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Shallotte, NC
- NPI 1033236690
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Supply, NC
- NPI 1447340591
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Shallotte, NC
- NPI 1457574436
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Shallotte, NC
- NPI 1538221080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881754927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 MORGAN ROAD SW",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284623135",
"telephone_number": "910-846-5635",
"fax_number": "910-842-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 STRATFORD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032634",
"telephone_number": "910-313-1768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR TREE MINISTRIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FANTI",
"authorized_official_first_name": "SAUNDRA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-846-5635"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NC",
"license": "MHL-065-182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JOSIE'S PLACE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wilmington, 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.