Organization Active NPI

Henrys Haven Pathways LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Salisbury, NC
National Provider Identifier
1063352243
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HENRYS HAVEN PATHWAYS LLC
Practice address
329 E Bank St
Salisbury, NC 28144-5505
Phone
(704) 345-0447
NPI assigned
Mar 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Wilnie Angibeau
Title
Owner/Admin
Phone
(704) 345-0447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

329 E Bank St
Salisbury, NC 28144-5505

Mailing address

329 E Bank St
Salisbury, NC 28144-5505
Phone (704) 345-0447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1063352243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E BANK ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445505",
            "telephone_number": "704-345-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E BANK ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445505",
            "telephone_number": "704-345-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRYS HAVEN PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "ANGIBEAU",
        "authorized_official_first_name": "WILNIE",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "704-345-0447"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "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 Mar 30, 2026; 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.