NPIMap

Organization Active NPI

American Human Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Sanford, NC
National Provider Identifier
1376604348
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
053-038 Issued in NC
Legal business name
AMERICAN HUMAN SERVICES, INC.
Practice address
2021 Eveton LN
Sanford, NC 27330-7204
Phone
(919) 851-5114
Fax
(919) 851-5119
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tara L. Fields
Title
Director of Operations
Phone
(919) 851-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 053-038 NC Primary

Addresses

Primary practice location

2021 Eveton LN
Sanford, NC 27330-7204

Mailing address

5520 McNeely Dr
Suite 200
Raleigh, NC 27612-7640
Phone (919) 851-5114

Other identifiers 1

IdentifierTypeStateIssuer
6603110MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
American Human Services Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

5520 McNeely Dr
Ste 200
Raleigh, NC 27612

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376604348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 MCNEELY DR",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127640",
            "telephone_number": "919-851-5114",
            "fax_number": "919-851-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 EVETON LN",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307204",
            "telephone_number": "919-851-5114",
            "fax_number": "919-851-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "919-851-5114"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "053-038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.