NPIMap

Organization Active NPI

Sanctuary House

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1285811901
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-0410632 Issued in NC
Legal business name
SANCTUARY HOUSE
Practice address
518 N Elm St
Greensboro, NC 27401-2018
Phone
(336) 275-7896
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Jodi Lorenzo-Schibley
Title
Executive Director
Phone
(336) 275-7896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-0410632 NC Primary

Addresses

Primary practice location

518 N Elm St
Greensboro, NC 27401-2018

Mailing address

PO Box 21141
Greensboro, NC 27420-1141
Phone (336) 275-7896

Other identifiers 1

IdentifierTypeStateIssuer
8300937MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Sanctuary House5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1285811901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21141",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274201141",
            "telephone_number": "336-275-7896",
            "fax_number": "336-346-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012018",
            "telephone_number": "336-275-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "LORENZO-SCHIBLEY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-275-7896"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-0410632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300937",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.