NPIMap

Organization Active NPI

Barium Springs Home for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Statesville, NC
National Provider Identifier
1932226321
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL049086 Issued in NC
Legal business name
BARIUM SPRINGS HOME FOR CHILDREN
Practice address
107 Barium Springs Drive
Howard Home
Statesville, NC 28677-6238
Phone
(704) 873-1011
Fax
(704) 832-2253
NPI assigned
Mar 23, 2007
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mr. John Koppelmeyer
Title
President
Phone
(704) 872-4157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL049086 NC Primary

Addresses

Primary practice location

107 Barium Springs Drive
Howard Home
Statesville, NC 28677-6238

Mailing address

PO Box 1
Barium Springs, NC 28010-0001
Phone (704) 873-1011

Other identifiers 1

IdentifierTypeStateIssuer
6603565MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Barium Springs Home for Children58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

107 Barium Springs Dr
Statesville, NC 28677

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1932226321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "BARIUM SPRINGS",
            "state": "NC",
            "postal_code": "280100001",
            "telephone_number": "704-873-1011",
            "fax_number": "704-832-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BARIUM SPRINGS DRIVE",
            "address_2": "HOWARD HOME",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286776238",
            "telephone_number": "704-873-1011",
            "fax_number": "704-832-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIUM SPRINGS HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KOPPELMEYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-872-4157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL049086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603565",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.