NPIMap

Organization Active NPI

TRG Health Care Systems LLC

  • Community/Behavioral Health Agency
  • Edenton, NC
National Provider Identifier
1316223993
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRG HEALTH CARE SYSTEMS LLC
Practice address
708 N Broad St
Edenton, NC 27932-1405
Phone
(919) 556-4440
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Eulanda Elliott
Title
President
Phone
(919) 925-3604

Specialties & licenses 1

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

Addresses

Primary practice location

708 N Broad St
Edenton, NC 27932-1405

Mailing address

PO Box 1207
Wake Forest, NC 27588-1207
Phone (919) 556-4440

Other names 2

  • OneCare Behavioral Health System Doing business as
  • OneCare Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Onecare Behavioral Health System7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

708 N Broad St
Edenton, NC 27932
Phone (919) 556-4440

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1316223993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881207",
            "telephone_number": "919-556-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N BROAD ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321405",
            "telephone_number": "919-556-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRG HEALTH CARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "EULANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-925-3604"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OneCare Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OneCare Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.