Active NPI
Har-Bry Incorporated
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Fuquay Varina, NC
National Provider Identifier
1174659700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 092536
- Legal business name
- HAR-BRY INCORPORATED
- Practice address
- 200 Seaton Dr
Fuquay Varina, NC 27526-1658 - Phone
- (919) 552-1184
- Fax
- (919) 552-6994
- NPI assigned
- Feb 26, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. William H. Harris, MBA
- Title
- President
- Phone
- (919) 552-1184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 092536 | NC | Primary |
Addresses
Primary practice location
200 Seaton Dr
Fuquay Varina, NC 27526-1658
Mailing address
1400 Old Regent Dr
Fuquay Varina, NC 27526-7275
Phone (919) 552-1184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603532 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174659700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 OLD REGENT DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267275",
"telephone_number": "919-552-1184",
"fax_number": "919-552-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SEATON DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261658",
"telephone_number": "919-552-1184",
"fax_number": "919-552-6994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAR-BRY INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-552-1184",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NC",
"license": "092536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603532",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.