NPIMap

Organization Active NPI

University of North Carolina Hospitals at Chapel Hill

Doing business as UNC Health Care Alcohol and Drug Detoxification at WakeBrook

  • Substance Abuse Rehabilitation Facility
  • Raleigh, NC
National Provider Identifier
1952749475
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
MHL-092-867 Issued in NC
Legal business name
UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Doing business as
UNC Health Care Alcohol and Drug Detoxification at WakeBrook
Practice address
107 Sunnybrook Rd
Suite B
Raleigh, NC 27610-1827
Phone
(984) 974-4850
Fax
(984) 974-4917
NPI assigned
Jun 6, 2013
Last updated
Feb 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Mrs. Janet Teresa Hadar
Title
President, Unc Hospitals
Phone
(984) 974-2819

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MHL-092-867 NC Primary
Community/Behavioral Health Agency 251S00000X MHL-092-867 NC

Addresses

Primary practice location

107 Sunnybrook Rd
Suite B
Raleigh, NC 27610-1827

Mailing address

107 Sunnybrook Rd
Suite B
Raleigh, NC 27610-1827
Phone (984) 974-4850

Other identifiers 1

IdentifierTypeStateIssuer
1952749475MedicaidNC

Other names 1

  • UNC Health Care Alcohol and Drug Detoxification at WakeBrook Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of North Carolina Hospitals27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1952749475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUNNYBROOK RD",
            "address_2": "SUITE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101827",
            "telephone_number": "984-974-4850",
            "fax_number": "984-974-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUNNYBROOK RD",
            "address_2": "SUITE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101827",
            "telephone_number": "984-974-4850",
            "fax_number": "984-974-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "HADAR",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT, UNC HOSPITALS",
        "authorized_official_telephone_number": "984-974-2819",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL-092-867",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-092-867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952749475",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Health Care Alcohol and Drug Detoxification at WakeBrook",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNC Health Care Alcohol and Drug Detoxification at WakeBrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.