Active NPI
Annas Care Inc.
- Community/Behavioral Health Agency
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL067131
- Legal business name
- ANNAS CARE INC.
- Practice address
- 180 Coastal LN
Jacksonville, NC 28546-6761 - Phone
- (910) 455-6724
- Fax
- (910) 346-5489
- NPI assigned
- Dec 29, 2006
- Last updated
- Mar 17, 2018
- 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
- Mrs. Linda Eliazbeth Gibson
- Title
- Director
- Phone
- (910) 455-6724
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | MHL067131 | NC | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL067131 | NC | |
| Community/Behavioral Health Agency | 251S00000X | MHL067131 | NC | Primary |
Addresses
Primary practice location
180 Coastal LN
Jacksonville, NC 28546-6761
Mailing address
180 Coastal LN
Jacksonville, NC 28546-6761
Other practice location 1
101 W Cameron Ct
Jacksonville, NC 28546-7926
Phone (910) 455-6724
Other practice location 2
131 Suffolk Cir
Jacksonville, NC 28546-7395
Phone (910) 455-6724
Other practice location 3
2671 Idlebrook Cir
Midway Park, NC 28544-1638
Phone (910) 455-6724
Other practice location 4
104 Lennox Cir
Jacksonville, NC 28546-7810
Phone (910) 455-6724
Other practice location 5
409 S Shore Dr
Jacksonville, NC 28540-6122
Phone (910) 455-6724
Other practice location 6
413 Kenwood Dr
Jacksonville, NC 28540-9044
Phone (910) 455-6724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409385 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Annascare
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jacksonville, NC
- NPI 1043376387
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jacksonville, NC
- NPI 1760549703
Locations
180 Coastal Ln
Jacksonville, NC 28546
Phone (910) 385-4791
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Jacksonville, NC
- NPI 1265693584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1124184452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 COASTAL LN",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 COASTAL LN",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466761",
"telephone_number": "910-455-6724",
"fax_number": "910-346-5489"
}
],
"practiceLocations": [
{
"address_1": "101 W Cameron Ct",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285467926",
"country_code": "US",
"telephone_number": "910-455-6724",
"fax_number": "910-346-5489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 Suffolk Cir",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285467395",
"country_code": "US",
"telephone_number": "910-455-6724",
"fax_number": "910-346-5489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2671 Idlebrook Cir",
"address_purpose": "LOCATION",
"city": "Midway Park",
"state": "NC",
"postal_code": "285441638",
"country_code": "US",
"telephone_number": "910-455-6724",
"fax_number": "910-346-5489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Lennox Cir",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285467810",
"country_code": "US",
"telephone_number": "910-455-6724",
"fax_number": "910-346-5489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "409 S Shore Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285406122",
"country_code": "US",
"telephone_number": "910-455-6724",
"fax_number": "910-346-5489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "413 Kenwood Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285409044",
"country_code": "US",
"telephone_number": "910-455-6724",
"fax_number": "910-346-5489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANNAS CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "ELIAZBETH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "910-455-6724",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NC",
"license": "MHL067131",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL067131",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL067131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409385",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.