Organization Active NPI

Hannah Family Care Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1366712622
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-092-829 Issued in NC
Legal business name
HANNAH FAMILY CARE HOMES, INC.
Practice address
5024 Dantree PL
Raleigh, NC 27609-5351
Phone
(919) 900-8916
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Ezuma Asi
Title
Administrator
Phone
(919) 900-8916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-092-829 NC Primary

Addresses

Primary practice location

5024 Dantree PL
Raleigh, NC 27609-5351

Mailing address

PO Box 14963
Raleigh, NC 27620-4963
Phone (919) 900-8916

Other identifiers 1

IdentifierTypeStateIssuer
MHL-092-829OtherNCDHSR-LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1366712622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14963",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276204963",
            "telephone_number": "919-900-8916",
            "fax_number": "919-876-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 DANTREE PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095351",
            "telephone_number": "919-900-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH FAMILY CARE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "ASI",
        "authorized_official_first_name": "EZUMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-900-8916"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-092-829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHSR-LICENSE",
            "identifier": "MHL-092-829",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 4, 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.