Organization Active NPI

Haven of Positive Enrichment, Inc.

  • Community/Behavioral Health Agency
  • Pinetops, NC
National Provider Identifier
1295881910
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HAVEN OF POSITIVE ENRICHMENT, INC.
Practice address
103 SW First Street
Pinetops, NC 27886-0101
Phone
(252) 827-2777
Fax
(827) 827-2770
NPI assigned
Jan 26, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
James Guilford
Title
President
Phone
(252) 827-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

103 SW First Street
Pinetops, NC 27886-0101

Mailing address

P.O. Box 101
Pinetops, NC 27864-0101
Phone (252) 827-2777

Other identifiers 3

IdentifierTypeStateIssuer
8301988MedicaidNC
017R5OtherNCBLUE CROSS BLUE SHIELD NC
6005764MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Haven of Positive Enrichment Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1295881910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 101",
            "city": "PINETOPS",
            "state": "NC",
            "postal_code": "278640101",
            "telephone_number": "252-827-2777",
            "fax_number": "252-827-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SW FIRST STREET",
            "city": "PINETOPS",
            "state": "NC",
            "postal_code": "278860101",
            "telephone_number": "252-827-2777",
            "fax_number": "827-827-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF POSITIVE ENRICHMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "GUILFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-827-2777"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301988",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "017R5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005764",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinetops, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.