Organization Active NPI

Norkris Foundation Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Havre de Grace, MD
National Provider Identifier
1306385232
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORKRIS FOUNDATION INC.
Practice address
611 S Union Ave
Havre de Grace, MD 21078-3421
Phone
(443) 526-6133
Fax
(443) 526-6134
NPI assigned
Feb 12, 2017
Organization subpart
Yes
Parent organization
NORKRIS SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Audrey Forka, CRNP
Title
President
Phone
(443) 526-6133

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R219171 MD
Voluntary or Charitable Agency 251V00000X R219171 MD
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

611 S Union Ave
Havre de Grace, MD 21078-3421

Mailing address

611 S Union Ave
Havre de Grace, MD 21078-3421
Phone (443) 526-6133

National Provider Directory

National Provider Directory
Tax ID family
Norkris Foundation Inc3 organizations share this tax ID, including this one
Part of
Norkris Services Inc

Other organizations with this tax ID 2

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

Locations

611 S Union Ave
Hvre de Grace, MD 21078
Phone (443) 526-6133

402 Lewis St
Hvre de Grace, MD 21078

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1306385232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783421",
            "telephone_number": "443-526-6133",
            "fax_number": "443-526-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783421",
            "telephone_number": "443-526-6133",
            "fax_number": "443-526-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORKRIS FOUNDATION INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORKRIS SERVICES, INC",
        "enumeration_date": "2017-02-12",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "FORKA",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-526-6133",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "R219171",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MD",
            "license": "R219171",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.