Organization Active NPI

Haire Enterprises, LLC

Doing business as Community Re-Entry Program

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1376732370
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HAIRE ENTERPRISES, LLC
Doing business as
Community Re-Entry Program
Practice address
1480 Pamalee Dr
Ste 100
Fayetteville, NC 28303-3928
Phone
(910) 488-7517
NPI assigned
Oct 16, 2007
Last updated
Sep 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Denise Haire
Title
Ceo
Phone
(910) 488-7517

Specialties & licenses 1

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

Addresses

Primary practice location

1480 Pamalee Dr
Ste 100
Fayetteville, NC 28303-3928

Mailing address

1480 Pamalee Dr
Fayetteville, NC 28303-3928
Phone (910) 488-7517

Other identifiers 1

IdentifierTypeStateIssuer
8302180MedicaidNC

Other names 1

  • Community Re-Entry Program Doing business as

National Provider Directory

National Provider Directory

Locations

1480 Pamalee Dr
Fayetteville, NC 28303
Phone (910) 304-7866

1480 Pamalee Dr
Ste 100
Fayetteville, NC 28303
Phone (910) 488-7517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1376732370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 PAMALEE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033928",
            "telephone_number": "910-488-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 PAMALEE DR",
            "address_2": "STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033928",
            "telephone_number": "910-488-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIRE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "HAIRE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-488-7517"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302180",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Re-Entry Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Re-Entry Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.