MR. JAMES EDWARD MCIVER NPI 1124172986

NPI Information

NPI: 1124172986
Provider Name: MR. JAMES EDWARD MCIVER
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Individual
Address: 141 THOMAS HUMPHREY RD
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 347-5218

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NPI Details

MR. James Edward Mciver is a residential treatment facility emotionally disturbed children in Jacksonville, 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. MR. James Edward Mciver NPI is 1124172986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

141 THOMAS HUMPHREY RD
JACKSONVILLE, NC
ZIP 28546-205
Phone: (910) 347-5218
Fax: (910) 346-0957

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/9/2007.

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	Taxonomy Specialization	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		MHL-067-142	NORTH CAROLINA	No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		MHL-067-162	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	6603585	MEDICAID	NORTH CAROLINA
2	8301087B	MEDICAID	NORTH CAROLINA
3	6603978	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: 11/21/2025

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