Organization Active NPI

The Enola Group

  • Community/Behavioral Health Agency
  • Morganton, NC
National Provider Identifier
1255478939
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-012-084 Issued in NC
Legal business name
THE ENOLA GROUP
Practice address
504A E Union St
Morganton, NC 28655-3456
Phone
(828) 604-4906
Fax
(828) 433-5520
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Louis Gentry Pugh, MA
Title
Executive Director
Phone
(828) 604-4906

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL-012-084 NC
Community/Behavioral Health Agency 251S00000X MHL-012-084 NC Primary

Addresses

Primary practice location

504A E Union St
Morganton, NC 28655-3456

Mailing address

PO Box 250
Morganton, NC 28680-0250
Phone (828) 438-6484

Other identifiers 1

IdentifierTypeStateIssuer
8301023MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
The Enola Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

504A E Union St
Morganton, NC 28655
Phone (828) 433-0056

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1255478939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286800250",
            "telephone_number": "828-438-6484",
            "fax_number": "828-438-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504A E UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553456",
            "telephone_number": "828-604-4906",
            "fax_number": "828-433-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENOLA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "GENTRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-604-4906",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-012-084",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-012-084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301023",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.