Organization Active NPI

D & L Healthcare Services

  • Intellectual Disabilities Intermediate Care Facility
  • Fayetteville, NC
National Provider Identifier
1922266816
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
MHL-026-851 Issued in NC
Legal business name
D & L HEALTHCARE SERVICES
Practice address
1108 Quailmeadow Dr
Fayetteville, NC 28314-5936
Phone
(910) 864-4300
Fax
(910) 826-7649
NPI assigned
May 28, 2008
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Mrs. Michelle D Smith
Title
Office Manager
Phone
(910) 826-7648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-026-851 NC Primary

Addresses

Primary practice location

1108 Quailmeadow Dr
Fayetteville, NC 28314-5936

Mailing address

1767 Rim Rd
Fayetteville, NC 28314-6018
Phone (910) 826-7648

Other identifiers 1

IdentifierTypeStateIssuer
341607UMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
D L Healthcare Services3 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

1108 Quail Meadow Dr
Fayetteville, NC 28314
Phone (910) 864-4300

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1922266816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 RIM RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146018",
            "telephone_number": "910-826-7648",
            "fax_number": "910-826-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 QUAILMEADOW DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145936",
            "telephone_number": "910-864-4300",
            "fax_number": "910-826-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & L HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-826-7648",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-026-851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341607U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.