Organization Active NPI

Annas Care Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, NC
National Provider Identifier
1124184452
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL067131 Issued in NC
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mrs. Linda Eliazbeth GibsonNPI 1265693584
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3409385MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Annascare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

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.

Verify at the official NPI Registry.