Harvest Care of North Carolina, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-098-122 Issued in NC

Legal business name

HARVEST CARE OF NORTH CAROLINA, LLC

Practice address

503 Thurston Dr W
Wilson, NC 27893-2858

Phone

(252) 281-5278

NPI assigned

Aug 19, 2008

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chandra Revis Pegues

Title

Director & Ceo

Phone

(252) 363-4122

Specialties & licenses 2

Addresses

Tax ID family

Harvest Care of North Carolina LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Harvest Care of North Carolina, LLC

  • Adult Mental Health Clinic/Center
  • Wilson, NC
  • NPI 1801121181
  NPD tax ID
• Redesigning Life of N.C.,LL

  • Adult Mental Health Clinic/Center
  • Wilson, NC
  • NPI 1366729048
  NPD tax ID

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1407003767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 THURSTON DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932858",
            "telephone_number": "252-281-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 THURSTON DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932858",
            "telephone_number": "252-281-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST CARE OF NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "PEGUES",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "REVIS",
        "authorized_official_title_or_position": "DIRECTOR & CEO",
        "authorized_official_telephone_number": "252-363-4122"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-098-122",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-098-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Harris
• Linda Crider Harris, LMBT NC 12914
• Rebekah Alicia Harris, PA-C
• Harrold, Higgins, Mani, Watson II
• Alexander David Hart, DPT
• Harvest Care of North Carolina, LLC
• Harvest Care of North Carolina, LLC
• Caroline Bell Hawley
• Heal and Restore, PLLC
• Healthfirst Primary Care PC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wilson, NC
• Providers in Wilson, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.