Organization Active NPI

Quality of Life Resource and Referral LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1497527048
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
QUALITY OF LIFE RESOURCE AND REFERRAL LLC
Practice address
601 Country Club Dr Ste B
Greenville, NC 27834-6124
Phone
(252) 341-1764
Fax
(252) 379-0428
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Jennifer Hampton-DixonNPI 1497527881
Title
Agency Director
Phone
(252) 341-1764

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X
Foster Care Agency 253J00000X
Secured Medical Transport (VAN) 343800000X
Respite Care 385H00000X
Child Mental Illness Respite Care 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

601 Country Club Dr Ste B
Greenville, NC 27834-6124

Mailing address

4213 Dublin Rd
Winterville, NC 28590-6809
Phone (252) 341-1764

Other practice location 1

120 S Elm St
Williamston, NC 27892-2304
Phone (252) 661-0740

Other identifiers 1

IdentifierTypeStateIssuer
CADC-21211OtherNCSUBSTANCE ABUSE COUNSELOR INTERN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address operations@QualityofLiferr.onmicrosoft.com Health Information Exchange (HIE)
Direct Messaging Address operations@qualityofliferr.onmicrosoft.com Health Information Exchange (HIE)
Direct Messaging Address operations@QualityofLiferr.onmicrosoft.com Direct

National Provider Directory

National Provider Directory

Locations

120 S Elm St
Williamston, NC 27892
Phone (252) 661-0740

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": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1497527048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 DUBLIN RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285906809",
            "telephone_number": "252-341-1764",
            "fax_number": "252-379-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COUNTRY CLUB DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346124",
            "telephone_number": "252-341-1764",
            "fax_number": "252-379-0428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Elm St",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "NC",
            "postal_code": "278922304",
            "country_code": "US",
            "telephone_number": "252-661-0740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUALITY OF LIFE RESOURCE AND REFERRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "HAMPTON-DIXON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "252-341-1764"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE COUNSELOR INTERN",
            "identifier": "CADC-21211",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "operations@QualityofLiferr.onmicrosoft.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4213 Dublin Rd",
            "city": "Winterville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285906809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "operations@qualityofliferr.onmicrosoft.com",
            "affiliation": "N",
            "endpointDescription": "operations@qualityofliferr.onmicrosoft.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "operations@qualityofliferr.onmicrosoft.com",
            "address_1": "601 Country Club Dr Ste B",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278346124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "operations@QualityofLiferr.onmicrosoft.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 S Elm St",
            "city": "Williamston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278922304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.