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SPECIAL K SERVICES INC. NPI 1851617690


NPI Information

NPI: 1851617690
Provider Name: SPECIAL K SERVICES INC.
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
825 NESTLEWAY DR
GREENSBORO, NC
ZIP 27406
Phone: (336) 275-4594
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SPECIAL K SERVICES INC. is a residential treatment facility emotionally disturbed children in Greensboro, 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. SPECIAL K SERVICES INC. NPI is 1851617690. The provider is registered as an organization entity type.

The provider's business location address is:

825 NESTLEWAY DR
GREENSBORO, NC
ZIP 27406-237
Phone: (336) 275-4594
Fax: (336) 275-6825

The provider's authorized official is Joyce Mceachirn .
The authorized official title is Ceo and has the following contact phone number (336) 312-1316.

The enumeration date for this NPI number is 4/19/2010 and was last updated on 4/19/2010.


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
1251S00000XCommunity/Behavioral HealthMHL-041-770NORTH CAROLINANo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL-041-770NORTH CAROLINANo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-770NORTH 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
18301614GMEDICAIDNORTH CAROLINA
23418239MEDICAIDNORTH CAROLINA
36604337MEDICAIDNORTH CAROLINA
48301614BMEDICAIDNORTH CAROLINA
58301614HMEDICAIDNORTH 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

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