NPIMap

Organization Active NPI

Mary'S House, Inc.

  • Case Management Agency
  • Greensboro, NC
National Provider Identifier
1043485675
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MHL-041-228 Issued in NC
Legal business name
MARY'S HOUSE, INC.
Practice address
520 Guilford Ave
Greensboro, NC 27401-1945
Phone
(336) 275-0820
Fax
(336) 275-0884
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Ms. Craig Amele Thomas
Title
Executive Director
Phone
(336) 275-0820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MHL-041-228 NC Primary

Addresses

Primary practice location

520 Guilford Ave
Greensboro, NC 27401-1945

Mailing address

520 Guilford Ave
Greensboro, NC 27401-1945
Phone (336) 275-0820

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1043485675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 GUILFORD AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011945",
            "telephone_number": "336-275-0820",
            "fax_number": "336-275-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 GUILFORD AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011945",
            "telephone_number": "336-275-0820",
            "fax_number": "336-275-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "AMELE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-275-0820",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "MHL-041-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 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.