NPIMap

Organization Active NPI

Black & Associates Global Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1598894842
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL -041-669 Issued in NC
Legal business name
BLACK & ASSOCIATES GLOBAL INC
Practice address
618 Broad Ave
Greensboro, NC 27406-1705
Phone
(336) 230-0767
Fax
(336) 454-0191
NPI assigned
Mar 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mrs. Ellen Rogers Black, OWNER
Title
Administrator
Phone
(336) 987-0572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL -041-669 NC Primary

Addresses

Primary practice location

618 Broad Ave
Greensboro, NC 27406-1705

Mailing address

102 Burrows Rd
Jamestown, NC 27282-8400
Phone (336) 987-0572

Other identifiers 1

IdentifierTypeStateIssuer
6603651MedicaidNC

Other names 1

  • OUR HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Black and Associates Global Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1598894842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BURROWS RD",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828400",
            "telephone_number": "336-987-0572",
            "fax_number": "336-454-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 BROAD AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061705",
            "telephone_number": "336-230-0767",
            "fax_number": "336-454-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK & ASSOCIATES GLOBAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-987-0572",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL -041-669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603651",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.