Active NPI
House of Jewels, Inc
- Mental Illness Community Based Residential Treatment Facility
- Cherryville, NC
National Provider Identifier
1467006353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- HOUSE OF JEWELS, INC
- Practice address
- 107 Robinson Dr
Cherryville, NC 28021-8100 - Phone
- (704) 214-1174
- NPI assigned
- Jul 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Genita Douglas
- Title
- Director of Operations
- Phone
- (704) 214-1174
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
107 Robinson Dr
Cherryville, NC 28021-8100
Mailing address
100 Black Elk LN
Blythewood, SC 29016-7220
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Tablets |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564358400000",
"number": "1467006353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BLACK ELK LN",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 ROBINSON DR",
"city": "CHERRYVILLE",
"state": "NC",
"postal_code": "280218100",
"telephone_number": "704-214-1174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE OF JEWELS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "GENITA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "704-214-1174"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Tablets",
"affiliation": "N",
"address_1": "107 Robinson Dr",
"city": "Cherryville",
"state": "NC",
"country_code": "US",
"postal_code": "280218100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cherryville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.