NPIMap

Organization Active NPI

Falcon Crest Residential Care

  • Mental Illness Community Based Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1891262010
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FALCON CREST RESIDENTIAL CARE
Practice address
1433 Morningside Dr
Burlington, NC 27217-1718
Phone
(336) 226-2575
NPI assigned
Oct 25, 2018
Organization subpart
Yes
Parent organization
FALCON CREST RESIDENTIAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Wendy Kay Bradsher
Title
Administrator Manager
Phone
(336) 226-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1433 Morningside Dr
Burlington, NC 27217-1718

Mailing address

1101 S Fifth St
Mebane, NC 27302-9182
Phone (336) 226-2575

National Provider Directory

National Provider Directory
Tax ID family
Falcon Crest Residential Care4 organizations share this tax ID, including this one
Part of
Falcon Crest Residential Care

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1891262010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029182",
            "telephone_number": "336-226-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 MORNINGSIDE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171718",
            "telephone_number": "336-226-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON CREST RESIDENTIAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALCON CREST RESIDENTIAL CARE",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "BRADSHER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR MANAGER",
        "authorized_official_telephone_number": "336-226-2575"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.