Organization Active NPI

Har-Bry Incorporated

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fuquay Varina, NC
National Provider Identifier
1174659700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
092536 Issued in NC
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6603532MedicaidNC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.