NPIMap

Organization Active NPI

Benjamin House Inc

Doing business as Benjamin House Community Services

  • Case Management Agency
  • Elizabeth City, NC
National Provider Identifier
1619137023
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BENJAMIN HOUSE INC
Doing business as
Benjamin House Community Services
Practice address
848 Forest Park Rd
Elizabeth City, NC 27909-5458
Phone
(252) 331-7731
Fax
(252) 331-1777
NPI assigned
Jun 10, 2008
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Ms. Jayne Hollowell
Title
Benjamin House Director
Phone
(252) 331-7731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Custodial Care Facility 311Z00000X MHL-070-039 NC

Addresses

Primary practice location

848 Forest Park Rd
Elizabeth City, NC 27909-5458

Mailing address

848 Forest Park Rd
Elizabeth City, NC 27909-5458
Phone (252) 331-7731

Other names 1

  • Benjamin House Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benjamin House Community Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

848 Forest Park Rd
Elizabeth City, NC 27909
Phone (252) 331-7731

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1619137023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 FOREST PARK RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095458",
            "telephone_number": "252-331-7731",
            "fax_number": "252-331-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 FOREST PARK RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095458",
            "telephone_number": "252-331-7731",
            "fax_number": "252-331-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "HOLLOWELL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "BENJAMIN HOUSE DIRECTOR",
        "authorized_official_telephone_number": "252-331-7731",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "MHL-070-039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin House Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.