J IVERSON RIDDLE DEVELOPMENT CENTER – NPI #1932245487
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

J IVERSON RIDDLE DEVELOPMENT CENTER is a community based residential treatment facility located in MORGANTON, NC. NPPES has assigned the NPI number 1932245487 to J IVERSON RIDDLE DEVELOPMENT CENTER on January 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. J IVERSON RIDDLE DEVELOPMENT CENTER is also known by the name WESTERN CAROLINA CENTER. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for J IVERSON RIDDLE DEVELOPMENT CENTER below.

NPI Profile for
J IVERSON RIDDLE DEVELOPMENT CENTER

NPI Number
1932245487
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
J IVERSON RIDDLE DEVELOPMENT CENTER
Other Name: WESTERN CAROLINA CENTER
Primary location
300 ENOLA ROAD
MORGANTON, NC 28655-4608
Phone: (828) 433-2722 Fax: (828) 433-2724
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
J HENNIKE
SECTION CHIEF OF DMH DD SAS STATE O
Phone: (919) 855-4700
Updated
Identifiers

Identifiers for J IVERSON RIDDLE DEVELOPMENT CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC3406014
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.