Melvin and Johnson Community Living

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-078-195 Issued in NC

Legal business name

MELVIN AND JOHNSON COMMUNITY LIVING

Practice address

169 Front St
Red Springs, NC 28377-1713

Phone

(910) 843-3659

Fax

(910) 843-3659

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. April Checrece Johnson

Title

Owner

Phone

(910) 818-8797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1962690891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283770851",
            "telephone_number": "910-843-3659",
            "fax_number": "910-843-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 FRONT ST",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771713",
            "telephone_number": "910-843-3659",
            "fax_number": "910-843-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN AND JOHNSON COMMUNITY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "CHECRECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-818-8797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-078-195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.