NPIMap

Organization Active NPI

Benjamin House, Inc.

  • Community/Behavioral Health Agency
  • Elizabeth City, NC
National Provider Identifier
1386707644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8300836B Issued in NC
Legal business name
BENJAMIN HOUSE, INC.
Practice address
1221 Carolina Ave
Suite 3
Elizabeth City, NC 27909-5407
Phone
(252) 331-7731
Fax
(252) 331-1777
NPI assigned
Dec 18, 2006
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
Mr. David E. Gilbert
Title
Chief Executive Officer
Phone
(252) 338-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8300836B NC Primary

Addresses

Primary practice location

1221 Carolina Ave
Suite 3
Elizabeth City, NC 27909-5407

Mailing address

1221 Carolina Ave
Suite 3
Elizabeth City, NC 27909-5407
Phone (252) 331-7731

Other identifiers 1

IdentifierTypeStateIssuer
8300836BMedicaidNC

Other names 1

  • Benjamin House Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benjamin House Community Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386707644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 CAROLINA AVE",
            "address_2": "SUITE 3",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095407",
            "telephone_number": "252-331-7731",
            "fax_number": "252-331-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CAROLINA AVE",
            "address_2": "SUITE 3",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095407",
            "telephone_number": "252-331-7731",
            "fax_number": "252-331-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "252-338-0333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8300836B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300836B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin House Community Services",
            "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 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.