EXTENDED REACH DAYTREATMENT FOR CHILDRENA AND ADOLESCENTS LLC
NPI 1740587591
Case Management in Fayetteville, NC

Active since February 14, 2011
302 BRADFORD AVE, FAYETTEVILLE, NC 28301(910) 484-0095(919) 238-7287 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Extended Reach Daytreatment For Childrena And Adolescents Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTENDED REACH DAYTREATMENT FOR CHILDRENA AND ADOLESCENTS LLC (NPI 1740587591) is a healthcare organization registered as a case management in Fayetteville, North Carolina and active in the NPI registry since February 2011. The organization lists Andrea Monique Boatman-hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740587591
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameEXTENDED REACH DAYTREATMENT FOR CHILDRENA AND ADOLESCENTS LLC
Location Address302 BRADFORD AVEFayetteville, NC 28301-5406
Mailing Address302 Bradford AveFayetteville, NC 28301-5406 · (910) 484-0095
Fax(919) 238-7287
Organization SubpartNo
Authorized OfficialAndrea Monique Boatman-hallCeo · (910) 229-8256
Enumeration DateFebruary 14, 2011
NPI 1740587591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
302 BRADFORD AVE, Fayetteville, NC 28301

Other Identifiers 3

Medicaid8302339NC
Medicaid6006927NC
Medicaid8302981NC

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Social Worker (Clinical)
302 BRADFORD AVE, SUITE 2
FAYETTEVILLE, NC 28301
Social Worker (Clinical)
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Community/Behavioral Health
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Social Worker (Clinical)
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Community/Behavioral Health
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Community/Behavioral Health
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Community/Behavioral Health
302 BRADFORD AVE
FAYETTEVILLE, NC 28301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extended Reach Daytreatment For Childrena And Adolescents LLC's NPI number?

The NPI number for Extended Reach Daytreatment For Childrena And Adolescents LLC is 1740587591. It was assigned to this organization in the NPPES registry on February 14, 2011.

Where is Extended Reach Daytreatment For Childrena And Adolescents LLC located?

Extended Reach Daytreatment For Childrena And Adolescents LLC is located at 302 Bradford Ave, Fayetteville, NC 28301. The listed phone number is (910) 484-0095.

What is Extended Reach Daytreatment For Childrena And Adolescents LLC's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

When was this NPI record last updated?

The NPPES record for Extended Reach Daytreatment For Childrena And Adolescents LLC was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.