Organization Active NPI

The Berryman House Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1043348857
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
041319 Issued in NC
Legal business name
THE BERRYMAN HOUSE INC
Practice address
223 Berryman St
Greensboro, NC 27405-3221
Phone
(336) 282-8492
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Ann Freeland Witherspoon
Title
Ceo
Phone
(336) 282-8492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 041319 NC Primary

Addresses

Primary practice location

223 Berryman St
Greensboro, NC 27405-3221

Mailing address

223 Berryman St
Greensboro, NC 27405-3221
Phone (336) 282-8492

Other names 1

  • Berryman House Group Home Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1043348857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 BERRYMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053221",
            "telephone_number": "336-282-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 BERRYMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053221",
            "telephone_number": "336-282-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BERRYMAN HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "WITHERSPOON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "FREELAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-282-8492"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "041319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berryman House Group Home Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.