NPIMap

Organization Active NPI

Cherry's Group Home

  • Assisted Living Facility (Mental Illness)
  • Aulander, NC
National Provider Identifier
1043334212
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
MHL-008-004 Issued in NC
Legal business name
CHERRY'S GROUP HOME
Practice address
108 Harmon Street
Aulander, NC 27805-0506
Phone
(252) 345-1353
Fax
(252) 345-4125
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alphonso Earl Cherry
Title
Administrator
Phone
(252) 377-7081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X MHL-008-004 NC Primary

Addresses

Primary practice location

108 Harmon Street
Aulander, NC 27805-0506

Mailing address

108 Harmon Street
Aulander, NC 27805-0506
Phone (252) 345-1353

National Provider Directory

National Provider Directory
Tax ID family
Cherry's Family Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043334212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HARMON STREET",
            "city": "AULANDER",
            "state": "NC",
            "postal_code": "278050506",
            "telephone_number": "252-345-1353",
            "fax_number": "252-345-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HARMON STREET",
            "city": "AULANDER",
            "state": "NC",
            "postal_code": "278050506",
            "telephone_number": "252-345-1353",
            "fax_number": "252-345-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY'S GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-377-7081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-008-004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aulander, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.