NPIMap

Organization Active NPI

Port Human Services

  • Counselor
  • Washington, NC
National Provider Identifier
1003140583
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PORT HUMAN SERVICES
Practice address
114 Avon Avenue
Washington, NC 27889-3841
Phone
(252) 948-1413
Fax
(252) 946-1086
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas O. Savidge
Title
Ceo
Phone
(252) 830-7560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

114 Avon Avenue
Washington, NC 27889-3841

Mailing address

4300 Sapphire Court
Ste 110
Greenville, NC 27834-9019
Phone (252) 830-7560

National Provider Directory

National Provider Directory
Tax ID family
Port Health Services38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1003140583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAPPHIRE COURT",
            "address_2": "STE 110",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349019",
            "telephone_number": "252-830-7560",
            "fax_number": "252-413-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AVON AVENUE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893841",
            "telephone_number": "252-948-1413",
            "fax_number": "252-946-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "SAVIDGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-830-7560"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.