Harbor House # V in Goldsboro - Community Based Residential Treatment Facility, Mental Illness
Harbor House # V - NPI 1528242484
Harbor House # V is a Community Based Residential Treatment Facility, Mental Illness in Goldsboro, North Carolina. Harbor House # V practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Harbor House # V is 1528242484. The last update date is 2007-12-27.
Harbor House # V's current location address is 2822 Cashwell Dr # 178, Goldsboro, North Carolina. You can contact this provider via phone number 9195813592 and fax number 9197348310. The mailing address for Harbor House # V is 2822 Cashwell Dr # 178, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Harbor House # V |
|---|---|
| Address | 2822 Cashwell Dr # 178, Goldsboro, North Carolina |
| Phone Number | 9195813592 |
| Fax Number | 9197348310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Johnson Glenda |
| Telephone Number | 9195813592 |
NPI Number Detail
| NPI Number | 1528242484 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2007-12-27 |
Provider Mailing Address Detail
| Address | 2822 Cashwell Dr # 178 |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275344302 |
| Phone Number | 9195813592 |
| Fax Number | 9197348310 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805805 | NC | -- | |
| MHL096180 | NC | MENTAL HEALTH LICENCURE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Harbor House # V by the Centers for Medicare & Medicaid Services?
The Harbor House # V has been assigned the NPI (National Provider Identifier) 1528242484 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Harbor House # V?
The Harbor House # V is physically situated at 2822 Cashwell Dr # 178, in the city of Goldsboro, state of NC, with the postal code 275344302.
What is Harbor House # V's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Harbor House # V is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 320800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528242484 to Harbor House # V?
The Centers for Medicare & Medicaid Services assigned the 1528242484 to Harbor House # V on 2007-12-27.
As of what date were the details related to Harbor House # V most recently updated or revised?
The information pertaining to Harbor House # V, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-27.
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