NPIMap

Organization Active NPI

Visions Residential Healthcare Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1962689463
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL 063-061 Issued in NC
Legal business name
VISIONS RESIDENTIAL HEALTHCARE SERVICES
Practice address
549 Stacy Weaver Dr
Fayetteville, NC 28311-0859
Phone
(910) 482-4453
Fax
(910) 482-3571
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Annie R. Hasan, M.ED., QMHP
Title
Director/Owner
Phone
(910) 624-6513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL 063-061 NC Primary

Addresses

Primary practice location

549 Stacy Weaver Dr
Fayetteville, NC 28311-0859

Mailing address

PO Box 9729
Fayetteville, NC 28311-9091
Phone (910) 482-4453

Other identifiers 1

IdentifierTypeStateIssuer
8300349BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Visions Residential Healthcare Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1962689463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9729",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119091",
            "telephone_number": "910-482-4453",
            "fax_number": "910-482-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 STACY WEAVER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110859",
            "telephone_number": "910-482-4453",
            "fax_number": "910-482-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS RESIDENTIAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-624-6513",
        "authorized_official_credential": "M.ED., QMHP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL 063-061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300349B",
            "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 Jan 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.