Harbor House Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

L000000010971 Issued in TN

Legal business name

HARBOR HOUSE INC

Practice address

1979 E Alcy Rd
Memphis, TN 38114-5902

Phone

(901) 743-1836

Fax

(901) 745-1180

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Connie W Ellis

Title

Atr Coordinator

Phone

(901) 743-1836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1346598893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 E ALCY RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381145902",
            "telephone_number": "901-743-1836",
            "fax_number": "901-745-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 E ALCY RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381145902",
            "telephone_number": "901-743-1836",
            "fax_number": "901-745-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ATR COORDINATOR",
        "authorized_official_telephone_number": "901-743-1836",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "L000000010971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shimon M Harary, MD
• Killis Maury Haraway
• Alexandria Harber, PT,DPT
• Jerry Lance Harber, MFT, LPC-MHSP
• Delilhaj Harbin, R.T.
• Harbor of Health LLC
• Harbor View Nursing and Rehabilitation Center, LLC
• Harbortownrx Pharmacy LLC (Harbor Town Pharmacy)
• Elizabeth Harcourt, LCSW
• Kadarah Hardaway

• Substance Abuse Rehabilitation Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.