NPIMap

Organization Active NPI

Johari Family Services,LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1609051275
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JOHARI FAMILY SERVICES,LLC
Practice address
511 Middle Rd
Fayetteville, NC 28312-5207
Phone
(910) 897-3000
Fax
(910) 897-3004
NPI assigned
Jan 2, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Joy Johari Inniss
Title
Chief Executive Officer
Phone
(910) 897-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

511 Middle Rd
Fayetteville, NC 28312-5207

Mailing address

511 Middle Rd
Fayetteville, NC 28312-5207
Phone (910) 897-3000

Other practice location 1

2305 Cleveland Ave
Fayetteville, NC 28312-9270
Phone (910) 897-3000

Other identifiers 1

IdentifierTypeStateIssuer
8302231MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Johari Family Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609051275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MIDDLE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283125207",
            "telephone_number": "910-897-3000",
            "fax_number": "910-897-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MIDDLE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283125207",
            "telephone_number": "910-897-3000",
            "fax_number": "910-897-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283129270",
            "country_code": "US",
            "telephone_number": "910-897-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHARI FAMILY SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "INNISS",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "JOHARI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-897-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302231",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.