Special Angels

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SPECIAL ANGELS

Practice address

3738 Cedar Hill Dr
Fayetteville, NC 28312-9612

Phone

(910) 483-3585

Fax

(910) 426-5278

NPI assigned

Feb 9, 2007

Last updated

Jul 29, 2008By 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

Ms. Darlene Rubenstahl

Title

Administrator

Phone

(910) 483-3585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1891836193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 CEDAR HILL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129612",
            "telephone_number": "910-483-3585",
            "fax_number": "910-426-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 CEDAR HILL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129612",
            "telephone_number": "910-483-3585",
            "fax_number": "910-426-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "RUBENSTAHL",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-483-3585",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.