NPIMap

Organization Active NPI

Adess Residential Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1902031222
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ADESS RESIDENTIAL SERVICES, INC.
Practice address
3705 Rock Haven Dr
Greensboro, NC 27410-3714
Phone
(336) 286-0036
Fax
(336) 282-6911
NPI assigned
May 17, 2009
Last updated
May 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Mrs. Jessie M Adams
Title
Executive Director
Phone
(336) 549-1580

Specialties & licenses 1

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

Addresses

Primary practice location

3705 Rock Haven Dr
Greensboro, NC 27410-3714

Mailing address

2419 Old Towne Dr
Greensboro, NC 27455-3439
Phone (336) 549-1580

Other names 1

  • Keswick Place Other name

National Provider Directory

National Provider Directory
Tax ID family
Adess Residential Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1902031222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 OLD TOWNE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553439",
            "telephone_number": "336-549-1580",
            "fax_number": "336-282-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 ROCK HAVEN DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103714",
            "telephone_number": "336-286-0036",
            "fax_number": "336-282-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADESS RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-17",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-549-1580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keswick Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.