Provider Demographics
NPI:1467523027
Name:THE ARC OF THE TRIANGLE, INC.
Entity Type:Organization
Organization Name:THE ARC OF THE TRIANGLE, INC.
Other - Org Name:THE ARC OF ORANGE COUNTY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PFALTZGRAFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-942-5119
Mailing Address - Street 1:1709 LEGION ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2373
Mailing Address - Country:US
Mailing Address - Phone:919-942-5119
Mailing Address - Fax:919-942-2119
Practice Address - Street 1:1709 LEGION ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2373
Practice Address - Country:US
Practice Address - Phone:919-942-5119
Practice Address - Fax:919-942-2119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408140Medicaid