Active NPI
The Enola Group
- Community/Behavioral Health Agency
- Morganton, NC
National Provider Identifier
1255478939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL-012-084
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301023 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- The Enola Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1437234747
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.