NPIMap

Organization Active NPI

NC Department of Health and Human Services, Division of Public Health

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Raleigh, NC
National Provider Identifier
1194056184
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
DME PERMIT 01609 Issued in NC
Legal business name
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES, DIVISION OF PUBLIC HEALTH
Practice address
5601 Six Forks Rd
Building 2
Raleigh, NC 27609-3811
Phone
(919) 707-5800
Fax
(919) 870-4818
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Ms. Alice Lenihan, MPH,RD
Title
Nutrion Services Branch Head
Phone
(919) 707-5740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X DME PERMIT 01609 NC Primary

Addresses

Primary practice location

5601 Six Forks Rd
Building 2
Raleigh, NC 27609-3811

Mailing address

1914 Mail Services Center
Raleigh, NC 27699-1914
Phone (919) 707-5800

National Provider Directory

National Provider Directory
Tax ID family
NC Childhood Lead Poisoning Prevention Program7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1914 Mail Service Ctr
Raleigh, NC 27699

5601 Six Forks Rd
Bldg 2
Raleigh, NC 27609
Phone (919) 707-5800

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1194056184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 MAIL SERVICES CENTER",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276991914",
            "telephone_number": "919-707-5800",
            "fax_number": "919-870-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 SIX FORKS RD",
            "address_2": "BUILDING 2",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093811",
            "telephone_number": "919-707-5800",
            "fax_number": "919-870-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC DEPARTMENT OF HEALTH AND HUMAN SERVICES, DIVISION OF PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "LENIHAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "NUTRION SERVICES BRANCH HEAD",
        "authorized_official_telephone_number": "919-707-5740",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH,RD"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "DME PERMIT 01609",
            "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 Jan 15, 2010; 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.