NPIMap

Organization Active NPI

Norkris Foundation Inc.

  • Community/Behavioral Health Agency
  • Havre de Grace, MD
National Provider Identifier
1356973952
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORKRIS FOUNDATION INC.
Practice address
611 S Union Ave
Havre de Grace, MD 21078-3421
Phone
(443) 526-6133
Fax
(443) 526-6134
NPI assigned
Feb 11, 2020
Organization subpart
Yes
Parent organization
NORKRIS FOUNDATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Audrey A Forka, CRNP
Title
President
Phone
(443) 526-6133

Specialties & licenses 1

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

Addresses

Primary practice location

611 S Union Ave
Havre de Grace, MD 21078-3421

Mailing address

611 S Union Ave
Havre de Grace, MD 21078-3421
Phone (443) 526-6133

Other names 1

  • Norkris Foundation PRP Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Norkris Foundation Inc3 organizations share this tax ID, including this one
Part of
Norkris Foundation Inc

Other organizations with this tax ID 2

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": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1356973952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783421",
            "telephone_number": "443-526-6133",
            "fax_number": "443-526-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783421",
            "telephone_number": "443-526-6133",
            "fax_number": "443-526-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORKRIS FOUNDATION INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORKRIS FOUNDATION, INC",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "FORKA",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-526-6133",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norkris Foundation PRP Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.