Provider Type Icon

BARIUM SPRINGS HOME FOR CHILDREN NPI 1265478366


NPI Information

NPI: 1265478366
Provider Name: BARIUM SPRINGS HOME FOR CHILDREN
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
156 FRAZIER LOOP
STATESVILLE, NC
ZIP 28677
Phone: (704) 872-4157
Get Directions

BARIUM SPRINGS HOME FOR CHILDREN is a residential treatment facility emotionally disturbed children in Statesville, 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. BARIUM SPRINGS HOME FOR CHILDREN NPI is 1265478366. The provider is registered as an organization entity type.

The provider's business location address is:

156 FRAZIER LOOP
STATESVILLE, NC
ZIP 28677
Phone: (704) 872-4157
Fax: (704) 838-1541

The provider's authorized official is John Koppelmeyer .
The authorized official title is President and has the following contact phone number (704) 872-4157.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 8/18/2009.


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 Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNORTH CAROLINANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-099-004NORTH CAROLINANo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-049-086NORTH CAROLINANo
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-049-087NORTH CAROLINANo
5251S00000XCommunity/Behavioral HealthMHL-086-041NORTH CAROLINANo
6251S00000XCommunity/Behavioral HealthMHL-049-090NORTH CAROLINANo
7251S00000XCommunity/Behavioral HealthMHL-049-104NORTH CAROLINANo
8251S00000XCommunity/Behavioral HealthMHL-099-017NORTH CAROLINANo
9251S00000XCommunity/Behavioral HealthMHL-049-085NORTH CAROLINANo
10101YM0800XCounselorMental HealthNo
11103TF0000XPsychologistFamilyNo
12322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-049-075NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18300723MEDICAIDNORTH 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: 5/5/2024

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.