Haven of Positive Enrichment, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HAVEN OF POSITIVE ENRICHMENT, INC.

Practice address

858 Hackney Ave
Washington, NC 27889-4246

Phone

(252) 946-9427

Fax

(252) 946-9872

NPI assigned

Oct 4, 2006

Last updated

Jul 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Edward Guilford, Q.M.H.P.

Title

Executive Director/Ceo

Phone

(252) 946-9427

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Haven of Positive Enrichment Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Haven of Positive Enrichment, Inc.

  • Community/Behavioral Health Agency
  • Pinetops, NC
  • NPI 1295881910
  NPD tax ID

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184371200000",
    "number": "1598850364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 HACKNEY AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894246",
            "telephone_number": "252-946-9427",
            "fax_number": "252-946-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 HACKNEY AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894246",
            "telephone_number": "252-946-9427",
            "fax_number": "252-946-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF POSITIVE ENRICHMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-14",
        "status": "A",
        "authorized_official_last_name": "GUILFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "252-946-9427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "Q.M.H.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301067B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF NC",
            "identifier": "017R5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301067G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301067H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lativia Harper, LCSWA
• Courtney Harrell, PHARMD
• Allison Hatley Harris, O.D.
• Kirk Randall Harris, O.D.
• Chelsea Hassell
• Stephanie J Hayesharris, LPA
• Jesse Hazel, LCSWA, LCASA
• Jennifer Nichole Head
• Healthaccess, Inc. (Vidant Home Health and Hospice)
• Healthnow, P.a.

• Community/Behavioral Health Agency in Washington, NC
• Providers in Washington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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.