NPIMap

Organization Active NPI

Advance Behav Ioral Health Services Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Kinston, NC
National Provider Identifier
1891840393
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-054-098 Issued in NC
Legal business name
ADVANCE BEHAV IORAL HEALTH SERVICES INC.
Practice address
2906 Hull Rd
Kinston, NC 28504-8238
Phone
(252) 526-7375
Fax
(252) 520-6745
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Authorized official

Name
Ms. Maude Bishop Knobeloch, MAED
Title
President
Phone
(252) 526-7375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-054-098 NC Primary

Addresses

Primary practice location

2906 Hull Rd
Kinston, NC 28504-8238

Mailing address

PO Box 789
Kinston, NC 28502-0789
Phone (252) 526-7375

National Provider Directory

National Provider Directory
Tax ID family
Advance Behavioral Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2906 Hull Rd
Kinston, NC 28504
Phone (252) 522-2800

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1891840393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285020789",
            "telephone_number": "252-526-7375",
            "fax_number": "252-520-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 HULL RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048238",
            "telephone_number": "252-526-7375",
            "fax_number": "252-520-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE BEHAV IORAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOBELOCH",
        "authorized_official_first_name": "MAUDE",
        "authorized_official_middle_name": "BISHOP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-526-7375",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MAED"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-054-098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.