NPIMap

Organization Active NPI

American Human Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Elm City, NC
National Provider Identifier
1205998317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
098-039 Issued in NC
Legal business name
AMERICAN HUMAN SERVICES, INC.
Practice address
3804 London Church Rd
Elm City, NC 27822-8383
Phone
(919) 851-5114
NPI assigned
Dec 14, 2006
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
Tara Fields
Title
Director of Operations
Phone
(919) 851-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 098-039 NC Primary

Addresses

Primary practice location

3804 London Church Rd
Elm City, NC 27822-8383

Mailing address

PO Box 30549
Raleigh, NC 27622-0549
Phone (919) 851-5114

Other identifiers 1

IdentifierTypeStateIssuer
6603285MedicaidNC

Other names 1

  • London Church Other name

National Provider Directory

National Provider Directory
Tax ID family
American Human Services Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205998317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30549",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276220549",
            "telephone_number": "919-851-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 LONDON CHURCH RD",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278228383",
            "telephone_number": "919-851-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "919-851-5114"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "098-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603285",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "London Church",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elm City, 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.