J IVERSON RIDDLE DEVELOPMENT CENTER NPI 1932245487

NPI Information

  • NPI: 1932245487
  • Provider Name: J IVERSON RIDDLE DEVELOPMENT CENTER
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Other Name: WESTERN CAROLINA CENTER
  • Address: 300 ENOLA ROAD
    MORGANTON, NC
    ZIP 28655
  • Phone: (828) 433-2722

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NPI Details

J IVERSON RIDDLE DEVELOPMENT CENTER is a community based residential treatment facility, intellectual and/or developmental disabilities in Morganton, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. J IVERSON RIDDLE DEVELOPMENT CENTER NPI is 1932245487. The provider is registered as an organization entity type.
The provider Other Name Is Western Carolina Center.

The provider's business location address is:

300 ENOLA ROAD
MORGANTON, NC
ZIP 28655-608
Phone: (828) 433-2722
Fax: (828) 433-2724

The provider's authorized official is J Michael Hennike .
The authorized official title is Section Chief Of Dmh Dd Sas State O and has the following contact phone number (919) 855-4700.

The enumeration date for this NPI number is 1/30/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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
13406014MEDICAIDNORTH 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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