NPIMap

Organization Active NPI

Mary's House

  • Mental Illness Community Based Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1326473869
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MARY'S HOUSE
Practice address
304 W Millbrook Rd Ste F
Raleigh, NC 27609-4381
Phone
(919) 329-2630
Fax
(919) 896-8117
NPI assigned
Sep 3, 2013
Last updated
Sep 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Mr. Ignacio Kirk
Title
Ceo/Owner
Phone
(919) 696-6071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NC Primary

Addresses

Primary practice location

304 W Millbrook Rd Ste F
Raleigh, NC 27609-4381

Mailing address

408 Latimer Rd
Raleigh, NC 27609-5906

Other names 1

  • Residential Adolescent Adult Services Training, Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Handy's House9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1326473869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 LATIMER RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W MILLBROOK RD STE F",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094381",
            "telephone_number": "919-329-2630",
            "fax_number": "919-896-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "919-696-6071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residential Adolescent Adult Services Training, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.