Organization Active NPI

TRG Health Care Systems LLC

  • Non-emergency Medical Transport (VAN)
  • Youngsville, NC
National Provider Identifier
1992074314
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TRG HEALTH CARE SYSTEMS LLC
Practice address
112 Wheaton Ave
Suite B
Youngsville, NC 27596
Phone
(919) 925-3604
Fax
(919) 925-3604
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Eulanda Elliott
Title
Managing Member
Phone
(919) 925-3604

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

112 Wheaton Ave
Suite B
Youngsville, NC 27596

Mailing address

TRG Healt Care Systems
PO Box 1207
Wake Forest, NC 27588-1207
Phone (919) 925-3604

Other names 1

  • OneCare Behavioral Health Systems Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Onecare Behavioral Health System7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

317 Ocean Hwy S
Hertford, NC 27944
Phone (252) 426-1390

112 Wheaton Ave
#B
Youngsville, NC 27596
Phone (919) 925-3604

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1992074314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TRG HEALT CARE SYSTEMS",
            "address_2": "PO BOX 1207",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881207",
            "telephone_number": "919-925-3604",
            "fax_number": "919-925-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WHEATON AVE",
            "address_2": "SUITE B",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "27596",
            "telephone_number": "919-925-3604",
            "fax_number": "919-925-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRG HEALTH CARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "EULANDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "919-925-3604"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OneCare Behavioral Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.