NPIMap

Organization Active NPI

Intensive Mental Care Inc

Doing business as Intensive Rehab Health Services

  • Community/Behavioral Health Agency
  • Elizabeth City, NC
National Provider Identifier
1427338565
Registry record updated Aug 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTENSIVE MENTAL CARE INC
Doing business as
Intensive Rehab Health Services
Practice address
401 S Griffin St Ste 175
Elizabeth City, NC 27909-4594
Phone
(252) 335-9400
Fax
(888) 535-2496
NPI assigned
Aug 21, 2011
Last updated
Aug 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2011

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

Authorized official

Name
Ms. Eulanda M Elliott
Title
President
Phone
(252) 312-8207

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Psychiatry Physician 2084P0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

401 S Griffin St Ste 175
Elizabeth City, NC 27909-4594

Mailing address

PO Box 1207
Wake Forest, NC 27588-1207
Phone (252) 312-8207

Other names 1

  • Intensive Rehab Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intensive Mental Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1313884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313884800000",
    "number": "1427338565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881207",
            "telephone_number": "252-312-8207",
            "fax_number": "888-535-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GRIFFIN ST STE 175",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094594",
            "telephone_number": "252-335-9400",
            "fax_number": "888-535-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE MENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-08-21",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "EULANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-312-8207",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intensive Rehab Health 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 21, 2011; 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.