Annascare
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, NC
NPI 1043376387 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043376387
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- MHL067144 (NC)
- Legal business name
- ANNASCARE
- Practice address
- 2607 Country Club Rd
Jacksonville, NC 28546-8602 - Phone
- (910) 455-6724
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Linda Elizabeth Gibson
- Title
- Director
- Phone
- (910) 455-6724
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Annascare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL067144 | NC | Yes |
Addresses
Primary practice location
2607 Country Club Rd
Jacksonville, NC 28546-8602
Mailing address
342 Center St
Jacksonville, NC 28546-6726
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409385 | Medicaid | NC | |
| 8301252 | Medicaid | NC |
Other providers in Jacksonville, NC
- Anew Hearing Care, LLC
- Ang Counseling and Consulting, PLLC
- Angels Care Assisted Living, LLC
- Angels on Wheels Transportation
- Annas Care Inc.
- Annascare
- Stefanie A Anthenor
- Abigail Antonette
- Thao Ngoc Aparicio
- Apex Behavioral Healthcare
All providers in Jacksonville, NC · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.