Tomlin Creek Ridge

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-079-101 Issued in NC

Legal business name

TOMLIN CREEK RIDGE

Practice address

135 Tomlin Creek LN
Stoneville, NC 27048-7667

Phone

(336) 612-2244

NPI assigned

Feb 18, 2010

Last updated

Feb 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elretha PerkinsNPI 1720210438

Title

Owner

Phone

(336) 612-2244

Specialties & licenses 1

Addresses

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.

• Elretha J Perkins

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Stoneville, NC
  • NPI 1720210438

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1891017877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272890163",
            "telephone_number": "336-612-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 TOMLIN CREEK LN",
            "city": "STONEVILLE",
            "state": "NC",
            "postal_code": "270487667",
            "telephone_number": "336-612-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMLIN CREEK RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "ELRETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-612-2244",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-079-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Stoneville, NC
• Providers in Stoneville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.