Active NPI
Vca Day Treatment
- Community/Behavioral Health Agency
- Sanford, NC
National Provider Identifier
1912220641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL053059
- Legal business name
- VCA DAY TREATMENT
- Practice address
- 136 Carbonton Rd
Suite B
Sanford, NC 27330-4000 - Phone
- (919) 774-3112
- Fax
- (919) 774-3155
- NPI assigned
- Mar 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Aja McLeod
- Title
- Chief Compliance Officer
- Phone
- (919) 774-3112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL053059 | NC | Primary |
Addresses
Primary practice location
136 Carbonton Rd
Suite B
Sanford, NC 27330-4000
Mailing address
PO Box 2656
Sanford, NC 27331-2656
Phone (919) 774-3112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302970R | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
136 Carbonton Rd
Ste B
Sanford, NC 27330
Phone (919) 774-3112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296000000000",
"number": "1912220641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2656",
"city": "SANFORD",
"state": "NC",
"postal_code": "273312656",
"telephone_number": "919-774-3112",
"fax_number": "919-774-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 CARBONTON RD",
"address_2": "SUITE B",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304000",
"telephone_number": "919-774-3112",
"fax_number": "919-774-3155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VCA DAY TREATMENT",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-09",
"last_updated": "2011-01-26",
"status": "A",
"authorized_official_last_name": "MCLEOD",
"authorized_official_first_name": "AJA",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "919-774-3112",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL053059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302970R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.