Amani Residential Human Services Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

AMANI RESIDENTIAL HUMAN SERVICES INC.

Practice address

105 Roberson Dr
Williamston, NC 27892-7607

Phone

(252) 792-7859

NPI assigned

Apr 19, 2007

Last updated

Mar 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery NMN Roberts

Title

Director

Phone

(252) 508-6581

Specialties & licenses 3

Addresses

Other names 1

• Amani Residential Human Services Inc. Former legal business name

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1245457258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278920833",
            "telephone_number": "252-508-6581",
            "fax_number": "252-508-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROBERSON DR",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278927607",
            "telephone_number": "252-792-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI RESIDENTIAL HUMAN SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-508-6581"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL058022",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-058-022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amani Residential Human Services Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Williamston, NC
• Providers in Williamston, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.