NPIMap

Organization Active NPI

New Destinations, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Roxboro, NC
National Provider Identifier
1891040333
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NEW DESTINATIONS, INC.
Practice address
219 N Foushee St
Roxboro, NC 27573-5314
Phone
(336) 322-1150
Fax
(336) 322-1153
NPI assigned
Jul 20, 2012
Last updated
Jul 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Authorized official

Name
Larry Lee Lackey
Title
Director
Phone
(919) 773-2706

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NC Primary

Addresses

Primary practice location

219 N Foushee St
Roxboro, NC 27573-5314

Mailing address

5720 Turner Store Lane
Raleigh, NC 27603-7976
Phone (919) 773-2706

National Provider Directory

National Provider Directory
Tax ID family
New Destinations Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1891040333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 TURNER STORE LANE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276037976",
            "telephone_number": "919-773-2706",
            "fax_number": "980-225-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N FOUSHEE ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735314",
            "telephone_number": "336-322-1150",
            "fax_number": "336-322-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DESTINATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-773-2706"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.