ICAN & ASSOCIATES INC. NPI 1063547701

NPI Information

NPI: 1063547701
Provider Name: ICAN & ASSOCIATES, INC.
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
6112 LOUISE ST
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 860-9787
Get Directions

ICAN & ASSOCIATES, INC. is a residential treatment facility emotionally disturbed children in Fayetteville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ICAN & ASSOCIATES, INC. NPI is 1063547701. The provider is registered as an organization entity type.

The provider's business location address is:

6112 LOUISE ST
FAYETTEVILLE, NC
ZIP 28314-719
Phone: (910) 860-9787
Fax: (910) 860-3903

The provider's authorized official is Shannon M Battle .
The authorized official title is Director and has the following contact phone number (910) 860-9787.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 12/15/2009.

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	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	026597	NORTH CAROLINA	No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	MHL047055	NORTH CAROLINA	No
3	253J00000X	Foster Care Agency	10312009	NORTH CAROLINA	No
4	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	047055	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	Other Provider Identifier Issuer
1	261QM0801X	OTHER	NORTH CAROLINA	LME

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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