SPECIALIZED CHILDREN'S CARE INC. NPI 1760490577

NPI Information

NPI: 1760490577
Provider Name: SPECIALIZED CHILDREN'S CARE, INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
430 BATTLEGROUND AVE
GREENSBORO, NC
ZIP 27401
Phone: (336) 574-0981
Get Directions

SPECIALIZED CHILDREN'S CARE, INC. is a community based residential treatment facility mental illness in Greensboro, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SPECIALIZED CHILDREN'S CARE, INC. NPI is 1760490577. The provider is registered as an organization entity type.

The provider's business location address is:

430 BATTLEGROUND AVE
GREENSBORO, NC
ZIP 27401-104
Phone: (336) 574-0981
Fax: (336) 574-0982

The provider's authorized official is Kenneth Bernard Whitmire .
The authorized official title is Executive Director and has the following contact phone number (336) 574-0981.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness	MHL-077-039	NORTH CAROLINA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness	MHL-041-601	NORTH CAROLINA	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness	MHL-097-054	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	6603644	MEDICAID	NORTH CAROLINA
2	6603163	MEDICAID	NORTH CAROLINA
3	6603164	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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