Provider Demographics
NPI:1922280429
Name:HEALTHCARE RESOURCES
Entity Type:Organization
Organization Name:HEALTHCARE RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLEOPHAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-299-5100
Mailing Address - Street 1:PO BOX 7853
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27417-0853
Mailing Address - Country:US
Mailing Address - Phone:336-299-5100
Mailing Address - Fax:
Practice Address - Street 1:5500 ADAMS FARM LN
Practice Address - Street 2:SUITE 206
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-7063
Practice Address - Country:US
Practice Address - Phone:336-299-5100
Practice Address - Fax:336-299-5111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children