Bynum's Place LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL093037 Issued in NC

Legal business name

BYNUM'S PLACE LLC

Doing business as

Bynum's Place

Practice address

131 Bynum's Place
Norlina, NC 27563-9139

Phone

(252) 257-0149

Fax

(252) 257-2307

NPI assigned

Feb 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moore Bynum

Title

Owner

Phone

(252) 915-9174

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bynum's Place Doing business as

Tax ID family

Bynum's Place LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Bynum's Place LLC

  dba Jeremiah's Place

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Manson, NC
  • NPI 1437292364
  NPD tax ID
• Bynum's Place LLC

  dba Michael's Place

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Manson, NC
  • NPI 1588706667
  NPD tax ID
• Bynum's Place, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Norlina, NC
  • NPI 1154463685
  NPD tax ID

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922140888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BYNUM'S PLACE",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639139",
            "telephone_number": "252-257-0149",
            "fax_number": "252-257-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BYNUM'S PLACE",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639139",
            "telephone_number": "252-257-0149",
            "fax_number": "252-257-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYNUM'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "MOORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-915-9174"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL093037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "031264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bynum's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Another Chance Family Services
• Gilbert Anderson Barnes, MS
• Jerrell Branch
• Bynum's Place, LLC
• Comfort Healthcare Inc
• Comfort Healthcare Services, Inc.
• Tracy N Davis, RBT
• Jenna Lee Enoch, PA-C

• Emotionally Disturbed Childrens' Residential Treatment Facility in Norlina, NC
• Providers in Norlina, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• 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.