NPIMap

Organization Active NPI

Advanced Health Resources

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1417153222
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ADVANCED HEALTH RESOURCES
Practice address
8406 Six Forks Rd
Ste 201
Raleigh, NC 27615-3074
Phone
(919) 845-5590
Fax
(919) 845-5125
NPI assigned
Jun 27, 2007
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
Alfie Potter
Title
Administrator
Phone
(919) 465-3277

Specialties & licenses 1

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

Addresses

Primary practice location

8406 Six Forks Rd
Ste 201
Raleigh, NC 27615-3074

Mailing address

1218 Copeland Oaks Dr
Morrisville, NC 27560-6614
Phone (919) 465-3277

Other identifiers 1

IdentifierTypeStateIssuer
8300323GMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Advanced Health Resources41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417153222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 COPELAND OAKS DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606614",
            "telephone_number": "919-465-3277",
            "fax_number": "919-465-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 SIX FORKS RD",
            "address_2": "STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153074",
            "telephone_number": "919-845-5590",
            "fax_number": "919-845-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ALFIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-465-3277"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300323G",
            "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 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.