Carolina Therapeutic Children and Family Services, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

MHL-001-202 Issued in NC

Legal business name

CAROLINA THERAPEUTIC CHILDREN AND FAMILY SERVICES, INC

Practice address

809 Wicker St
809 Wicker Street
Burlington, NC 27217-2362

Phone

(336) 684-5005

Fax

(336) 226-3727

NPI assigned

Oct 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Everett Jones

Title

Ceo

Phone

(336) 684-5005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wicker Street Group nHome Doing business as

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1992015648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WICKER ST",
            "address_2": "809 WICKER STREET",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172362",
            "telephone_number": "336-684-5005",
            "fax_number": "336-226-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WICKER ST",
            "address_2": "809 WICKER STREET",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172362",
            "telephone_number": "336-684-5005",
            "fax_number": "336-226-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA THERAPEUTIC CHILDREN AND FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-684-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "MHL-001-202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH AND HUMAN SERVICES",
            "identifier": "FACILITY ID 930773",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wicker Street Group nHome",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Behavioral Care
• Carolina Behavioral Health & Psychological Resources, PLLC
• Carolina Diagnostics, Inc.
• Carolina Enhancement Services LLC
• Carolina Eye Prosthetics, Inc.
• Carolina Therapeutic Family and Children Services
• Beverly R Carr
• Benjamin Michael Carrion, PA-C
• Donna C Carroll, NPC
• Hillary N. Carroll, MD

• Assisted Living Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.