NPIMap

Organization Active NPI

Tar Heel Habilitation Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Salisbury, NC
National Provider Identifier
1043405723
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TAR HEEL HABILITATION SERVICES, LLC
Practice address
1207 Barbour Street
Salisbury, NC 28144-8296
Phone
(704) 680-3377
NPI assigned
Sep 6, 2007
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Mr. Andre Paul Gaston, J.D.
Title
Executive Director
Phone
(704) 680-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC Primary

Addresses

Primary practice location

1207 Barbour Street
Salisbury, NC 28144-8296

Mailing address

PO Box 581
East Spencer, NC 28039-0581
Phone (704) 680-3377

National Provider Directory

National Provider Directory
Tax ID family
Carolina Health Day Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1043405723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "EAST SPENCER",
            "state": "NC",
            "postal_code": "280390581",
            "telephone_number": "704-680-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 BARBOUR STREET",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281448296",
            "telephone_number": "704-680-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAR HEEL HABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-680-3377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.