Harbor House, Inc in Goldsboro - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Harbor House, Inc - NPI 1740469022
Harbor House, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Goldsboro, North Carolina. Harbor House, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Harbor House, Inc is 1740469022. The last update date is 2007-11-02.
Harbor House, Inc's current location address is 203 N Jackson St, Goldsboro, North Carolina. You can contact this provider via phone number 9195813592 and fax number 9197348310. The mailing address for Harbor House, Inc is 203 N Jackson St, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Harbor House, Inc |
|---|---|
| Address | 203 N Jackson St, Goldsboro, North Carolina |
| Phone Number | 9195813592 |
| Fax Number | 9197348310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Johnson Wiggins Glenda |
| Credentials | BS |
| Telephone Number | 9192521868 |
NPI Number Detail
| NPI Number | 1740469022 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 203 N Jackson St |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275303857 |
| Phone Number | 9195813592 |
| Fax Number | 9197348310 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804952 | NC | -- | |
| 7805075 | NC | -- | |
| 8301266B | NC | -- | |
| 8301626 | NC | -- | |
| 8301627B | NC | -- | |
| 8301627 | NC | -- | |
| 8301266 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Harbor House, Inc by the Centers for Medicare & Medicaid Services?
The Harbor House, Inc has been assigned the NPI (National Provider Identifier) 1740469022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Harbor House, Inc is geographically located?
The Harbor House, Inc is physically situated at the following location: 203 N Jackson St, Goldsboro, NC, 275303857.
What is Harbor House, Inc'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, Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740469022 to Harbor House, Inc?
The Harbor House, Inc received its 1740469022 assignment from the Centers for Medicare & Medicaid Services on 2007-11-02.
As of what date were the Harbor House, Inc's details last updated?
The information pertaining to the Harbor House, Inc, including its address, specialty, and other details, was most recently updated on 2007-11-02.