NPIMap

Organization Active NPI

Catawba County DSS

Doing business as Corner House I

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Newton, NC
National Provider Identifier
1891839650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL018060 Issued in NC
Legal business name
CATAWBA COUNTY DSS
Doing business as
Corner House I
Practice address
1116 Radio Station Rd
Newton, NC 28658-9479
Phone
(828) 464-6307
NPI assigned
Feb 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Crystal Dawn McMillan, MA, QP
Title
Residential Services Manager
Phone
(828) 464-6840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL018060 NC Primary

Addresses

Primary practice location

1116 Radio Station Rd
Newton, NC 28658-9479

Mailing address

1116 Radio Station Rd
Newton, NC 28658-9479
Phone (828) 464-6307

Other identifiers 1

IdentifierTypeStateIssuer
6603263MedicaidNC

Other names 1

  • Corner House I Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catawba Co Mental HLTH21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

1116 Radio Station Rd
Newton, NC 28658
Phone (828) 464-6307

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891839650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 RADIO STATION RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589479",
            "telephone_number": "828-464-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 RADIO STATION RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589479",
            "telephone_number": "828-464-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA COUNTY DSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "RESIDENTIAL SERVICES MANAGER",
        "authorized_official_telephone_number": "828-464-6840",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, QP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL018060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603263",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner House I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, 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.

Verify at the official NPI Registry.