Mary Rebecca Home, Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARY REBECCA HOME, INCORPORATED

Practice address

1200 W Iowa Ave
Southern Pines, NC 28387-4418

Phone

(910) 692-2894

Fax

(910) 482-3571

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Annie R. Hasan, M.ED., QMHP

Title

Executive Director

Phone

(910) 482-4453

Specialties & licenses 1

Addresses

Tax ID family

Mary Rebecca Home Incorporated2 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.

• Mary Rebecca Home Incorporated

  • Community/Behavioral Health Agency
  • Turkey, NC
  • NPI 1881835619
  NPD tax ID

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1346472891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9729",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119091",
            "telephone_number": "910-692-2895",
            "fax_number": "910-482-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W IOWA AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874418",
            "telephone_number": "910-692-2894",
            "fax_number": "910-482-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY REBECCA HOME, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-482-4453",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Leigh Manning, P.T.
• Mary Marbut
• Angela Dawn Marceau, COTA/L
• Pamela Hall Marks, LMBT
• Grey Ocean Martineau, BA, RBT
• Margaret Mason, DPT
• Nora C Mason, M.D.
• Stephanie Marie Mason, L.AC., DOM
• Elizabeth Ellen Matsakis, PTA
• Matthew Phillip Goodrich

• Community/Behavioral Health Agency in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.