NPIMap

Organization Active NPI

Direccare Behavioral Services, Inc

  • Community/Behavioral Health Agency
  • Elizabethtown, NC
National Provider Identifier
1982844726
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIRECCARE BEHAVIORAL SERVICES, INC
Practice address
129 West Broad St.
Elizabethtown, NC 28337
Phone
(910) 872-0013
Fax
(910) 872-0019
NPI assigned
Mar 5, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
DIRECCARE BEHAVIORAL SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Antonio McMillian
Title
Director
Phone
(910) 738-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

129 West Broad St.
Elizabethtown, NC 28337

Mailing address

PO Box 1973
Elizabethtown, NC 28337-1973
Phone (910) 872-0013

National Provider Directory

National Provider Directory
Tax ID family
Direccare Behavioral Care Services Inc8 organizations share this tax ID, including this one
Part of
Direccare Behavioral Care Services Inc

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1982844726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1973",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283371973",
            "telephone_number": "910-872-0013",
            "fax_number": "910-872-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WEST BROAD ST.",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-872-0013",
            "fax_number": "910-872-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECCARE BEHAVIORAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIRECCARE BEHAVIORAL SERVICES, INC",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-738-1818"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.