Samara'S Village, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

SAMARA'S VILLAGE, INC

Practice address

5098 Capstan CT
Southport, NC 28461-2203

Phone

(910) 294-0292

NPI assigned

Jan 10, 2016

Organization subpart

No

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

Authorized official

Name

Kathrine Ann White

Title

Executive Director

Phone

(910) 294-0292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452384000000",
    "number": "1306202155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5098 CAPSTAN CT",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612203",
            "telephone_number": "910-294-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5098 CAPSTAN CT",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612203",
            "telephone_number": "910-294-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARA'S VILLAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-10",
        "last_updated": "2016-01-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KATHRINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-294-0292"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Southport, NC
• Providers in Southport, NC by specialty
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2016; 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.