NPIMap

Organization Active NPI

Houseofprosperity

  • Mental Illness Community Based Residential Treatment Facility
  • Goldsboro, NC
National Provider Identifier
1235395294
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-096-199 Issued in NC
Legal business name
HOUSEOFPROSPERITY
Practice address
118 Ellis Dr
Goldsboro, NC 27534-9500
Phone
(980) 253-3764
NPI assigned
Jul 30, 2008
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
HOUSEOFPROSPERITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mrs. Regina Raynette Young
Title
Director
Phone
(980) 253-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-096-199 NC Primary

Addresses

Primary practice location

118 Ellis Dr
Goldsboro, NC 27534-9500

Mailing address

1805 N Berkeley Blvd
Goldsboro, NC 27534-3307
Phone (919) 288-1608

National Provider Directory

National Provider Directory
Part of
Houseofprosperity

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1235395294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N BERKELEY BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275343307",
            "telephone_number": "919-288-1608",
            "fax_number": "919-288-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ELLIS DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349500",
            "telephone_number": "980-253-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSEOFPROSPERITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSEOFPROSPERITY",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "RAYNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "980-253-3764",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-096-199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.