NPIMap

Organization Active NPI

Albemarle Regional Health Services

Doing business as Chowan Life Center

  • Case Management Agency
  • Elizabeth City, NC
National Provider Identifier
1356425839
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ALBEMARLE REGIONAL HEALTH SERVICES
Doing business as
Chowan Life Center
Practice address
311 Cedar St
Elizabeth City, NC 27909-4340
Phone
(252) 338-4404
NPI assigned
Oct 24, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Jerry L Parks, MPH
Title
Health Director
Phone
(252) 338-4404

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Adult Day Care Clinic/Center 261QA0600X
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

311 Cedar St
Elizabeth City, NC 27909-4340

Mailing address

PO Box 189
Elizabeth City, NC 27907-0189

Other identifiers 1

IdentifierTypeStateIssuer
3408230MedicaidNC

Other names 1

  • Chowan Life Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Albemarle Sphearing Ctr22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1356425839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279070189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CEDAR ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094340",
            "telephone_number": "252-338-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE REGIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-338-4404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408230",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chowan Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.