Organization Active NPI

Harmony House of Moore County

  • Mental Illness Community Based Residential Treatment Facility
  • Southern Pines, NC
National Provider Identifier
1487429163
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HARMONY HOUSE OF MOORE COUNTY
Practice address
1180 W Massachusetts Ave
Southern Pines, NC 28387-4620
Phone
(910) 691-5159
NPI assigned
Nov 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Miss Amanda Blair Faulk, LCMHC-QS, LCAS, NCCNPI 1801134614
Title
Owner/Director
Phone
(910) 691-5159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1180 W Massachusetts Ave
Southern Pines, NC 28387-4620

Mailing address

590 W Denny Ave
Pinebluff, NC 28373-8337
Phone (910) 691-5159

Other identifiers 1

IdentifierTypeStateIssuer
1801134614OtherNCOWNER'S NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1487429163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W DENNY AVE",
            "city": "PINEBLUFF",
            "state": "NC",
            "postal_code": "283738337",
            "telephone_number": "910-691-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W MASSACHUSETTS AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874620",
            "telephone_number": "910-691-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HOUSE OF MOORE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "FAULK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "910-691-5159",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCMHC-QS, LCAS, NCC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER'S NPI",
            "identifier": "1801134614",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.