Provider Type Icon

ALBERTA PROFESSIONAL SERVICES INC. NPI 1871658120


NPI Information

NPI: 1871658120
Provider Name: ALBERTA PROFESSIONAL SERVICES, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1000 REVOLUTION MILL DR
STUDIO 2
GREENSBORO, NC
ZIP 27405
Phone: (336) 273-2640
Get Directions

ALBERTA PROFESSIONAL SERVICES, INC. is a day training developmentally disabled services in Greensboro, NC. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. ALBERTA PROFESSIONAL SERVICES, INC. NPI is 1871658120. The provider is registered as an organization entity type.

The provider's business location address is:

1000 REVOLUTION MILL DR
STUDIO 2
GREENSBORO, NC
ZIP 27405-042
Phone: (336) 273-2640
Fax: (336) 273-6522

The provider's authorized official is Derek Mitchell .
The authorized official title is Business Manager and has the following contact phone number (336) 273-2640.

The enumeration date for this NPI number is 12/27/2006 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
1251C00000XDay Training, Developmentally Disabled ServicesMHL-041-768NORTH CAROLINAYes
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-553NORTH CAROLINAX
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-125NORTH CAROLINAX
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-152NORTH CAROLINAX
5322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-229NORTH CAROLINAX
6322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-068NORTH CAROLINAX
7322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-164NORTH CAROLINAX
8322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-034-108NORTH CAROLINAX
9251B00000XCase ManagementX
10320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesX
11251S00000XCommunity/Behavioral HealthX

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
18301821BMEDICAIDNORTH CAROLINA
26603003MEDICAIDNORTH CAROLINA
36603016MEDICAIDNORTH CAROLINA
46603018MEDICAIDNORTH CAROLINA
56603140MEDICAIDNORTH CAROLINA
63418317MEDICAIDNORTH CAROLINA
76603001MEDICAIDNORTH CAROLINA
86603533MEDICAIDNORTH 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.