Emerald Star Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMERALD STAR HEALTH SERVICES

Practice address

214 Long Crescent Dr
Durham, NC 27712-1451

Phone

(919) 672-2595

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Brishen Webster, B.A. SOCIOLOGY, Q.P.

Title

Executive Director

Phone

(919) 672-2595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1083803043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NEWCASTLE RD APT B8",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041562",
            "telephone_number": "919-672-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LONG CRESCENT DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277121451",
            "telephone_number": "919-672-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD STAR HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BRISHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-672-2595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A. SOCIOLOGY, Q.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.