Active NPI
Annascare
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- MHL067144
- Legal business name
- ANNASCARE
- Practice address
- 2607 Country Club Rd
Jacksonville, NC 28546-8602 - Phone
- (910) 455-6724
- NPI assigned
- Dec 29, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Elizabeth Gibson
- Title
- Director
- Phone
- (910) 455-6724
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL067144 | NC | Primary |
Addresses
Primary practice location
2607 Country Club Rd
Jacksonville, NC 28546-8602
Mailing address
342 Center St
Jacksonville, NC 28546-6726
National Provider Directory
National Provider Directory- Tax ID family
- Annascare
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Jacksonville, NC
- NPI 1124184452
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jacksonville, NC
- NPI 1760549703
Locations
342 Center St
Jacksonville, NC 28546
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Jacksonville, NC
- NPI 1265693584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043376387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 CENTER ST",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 COUNTRY CLUB RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285468602",
"telephone_number": "910-455-6724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNASCARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "910-455-6724"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL067144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, 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.