NPIMap

Organization Active NPI

Centennial Care

  • Mental Illness Community Based Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1154502011
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL092666 Issued in NC
Legal business name
CENTENNIAL CARE
Practice address
3000 Centennial Woods Dr
Unit 202-B
Raleigh, NC 27603-6101
Phone
(919) 851-3715
NPI assigned
Nov 20, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Ms. Phyllis Helms
Title
Director
Phone
(919) 851-3715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL092666 NC Primary

Addresses

Primary practice location

3000 Centennial Woods Dr
Unit 202-B
Raleigh, NC 27603-6101

Mailing address

502 Carolina Ave
Raleigh, NC 27606-1604
Phone (919) 851-3715

National Provider Directory

National Provider Directory
Tax ID family
Centennial Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1154502011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CAROLINA AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061604",
            "telephone_number": "919-851-3715",
            "fax_number": "919-460-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CENTENNIAL WOODS DR",
            "address_2": "UNIT 202-B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276036101",
            "telephone_number": "919-851-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-851-3715",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL092666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.