NPIMap

Organization Active NPI

Gha Autism Supports

Doing business as GHA Inc. - Canterbury Woods

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wilmington, NC
National Provider Identifier
1053758847
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL065207 Issued in NC
Legal business name
GHA AUTISM SUPPORTS
Doing business as
GHA Inc. - Canterbury Woods
Practice address
117 Delham CT
Wilmington, NC 28412-7674
Phone
(704) 982-9600
Fax
(704) 982-8155
NPI assigned
Jun 3, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mrs. Dawn Harwood Allen
Title
Ceo
Phone
(704) 982-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL065207 NC Primary

Addresses

Primary practice location

117 Delham CT
Wilmington, NC 28412-7674

Mailing address

PO Box 2487
Albemarle, NC 28002-2487
Phone (704) 982-9600

Other identifiers 1

IdentifierTypeStateIssuer
3408844MedicaidNC

Other names 1

  • GHA Inc. - Canterbury Woods Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gha Autism Supports31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1053758847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2487",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280022487",
            "telephone_number": "704-982-9600",
            "fax_number": "704-982-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DELHAM CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127674",
            "telephone_number": "704-982-9600",
            "fax_number": "704-982-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHA AUTISM SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "HARWOOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-982-9600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL065207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408844",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GHA Inc. - Canterbury Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.