Organization Active NPI

Visions of North Carolina Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1912145293
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
VISIONS OF NORTH CAROLINA INC
Practice address
7607A Alcorn Rd
Same
Greensboro, NC 27409-9781
Phone
(336) 931-0432
Fax
(336) 370-9009
NPI assigned
Jan 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Dr. Herbert Lee Mozell, ED.D
Title
Program Director
Phone
(336) 931-0432

Specialties & licenses 1

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

Addresses

Primary practice location

7607A Alcorn Rd
Same
Greensboro, NC 27409-9781

Mailing address

7607A Alcorn Rd
Same
Greensboro, NC 27409-9781
Phone (336) 931-0432

Other identifiers 1

IdentifierTypeStateIssuer
6604087MedicaidNC

Other names 1

  • Visions Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Visions of North Carolina 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.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1912145293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607A ALCORN RD",
            "address_2": "SAME",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099781",
            "telephone_number": "336-931-0432",
            "fax_number": "336-370-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607A ALCORN RD",
            "address_2": "SAME",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099781",
            "telephone_number": "336-931-0432",
            "fax_number": "336-370-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS OF NORTH CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "MOZELL",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "336-931-0432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604087",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visions",
            "code": "4",
            "type": "Former Legal Business 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 Jan 26, 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.