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CONCORDIA SEABROOKS & MILES PTNRS NPI 1871681551


NPI Information

NPI: 1871681551
Provider Name: CONCORDIA, SEABROOKS, & MILES PTNRS
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1903 BRAGG BLVD
SUITE 4
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 826-8253
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CONCORDIA, SEABROOKS, & MILES PTNRS is a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CONCORDIA, SEABROOKS, & MILES PTNRS NPI is 1871681551. The provider is registered as an organization entity type.

The provider's business location address is:

1903 BRAGG BLVD
SUITE 4
FAYETTEVILLE, NC
ZIP 28303-563
Phone: (910) 826-8253
Fax: (910) 826-8254

The provider's authorized official is Meredith Nickelberry .
The authorized official title is Vice President and has the following contact phone number (910) 826-8253.

The enumeration date for this NPI number is 10/10/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-067-154NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16603687MEDICAIDNORTH CAROLINA
26603570MEDICAIDNORTH 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.