Active NPI
Health Services Personnel
- Community/Behavioral Health Agency
- Ahoskie, NC
National Provider Identifier
1073761839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HEALTH SERVICES PERSONNEL
- Practice address
- 233 E Modlin Rd
Ahoskie, NC 27910-8220 - Phone
- (800) 866-0860
- NPI assigned
- Sep 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deena Ombres
- Title
- Privacy Officer
- Phone
- (502) 394-2387
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NC | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NC | ||
| Home Health Agency | 251E00000X | NC | ||
| Community/Behavioral Health Agency | 251S00000X | NC | Primary |
Addresses
Primary practice location
233 E Modlin Rd
Ahoskie, NC 27910-8220
Mailing address
9901 Linn Station Rd
Louisville, KY 40223-3808
Phone (800) 866-0860
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300520H | Medicaid | NC | |
| 8300522H | Medicaid | NC | |
| 8300526H | Medicaid | NC | |
| 8300526B | Medicaid | NC | |
| 8300528G | Medicaid | NC | |
| 8300498 | Medicaid | NC | |
| 8300646G | Medicaid | NC | |
| 8300787H | Medicaid | NC | |
| 8300498B | Medicaid | NC | |
| 8300498G | Medicaid | NC | |
| 8300528H | Medicaid | NC | |
| 8300646H | Medicaid | NC | |
| 8300498H | Medicaid | NC | |
| 8300500B | Medicaid | NC | |
| 8300523H | Medicaid | NC | |
| 8300526G | Medicaid | NC | |
| 8300500H | Medicaid | NC | |
| 8300534H | Medicaid | NC |
Other names 1
- HSP
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1073761839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 LINN STATION RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233808",
"telephone_number": "800-866-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E MODLIN RD",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279108220",
"telephone_number": "800-866-0860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH SERVICES PERSONNEL",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "OMBRES",
"authorized_official_first_name": "DEENA",
"authorized_official_title_or_position": "PRIVACY OFFICER",
"authorized_official_telephone_number": "502-394-2387"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300520H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300522H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300526H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300526B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300528G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300498",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300646G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300787H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300498B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300498G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300528H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300646H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300498H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300500B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300523H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300526G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300500H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300534H",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HSP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.