NPIMap

Organization Active NPI

My Goal Our Mission, Inc

  • Case Manager/Care Coordinator
  • Garner, NC
National Provider Identifier
1629399969
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MY GOAL OUR MISSION, INC
Practice address
313 US Highway 70 E
Suite E
Garner, NC 27529-4040
Phone
(919) 800-0016
Fax
(919) 800-0016
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mrs. Allison Marie Bristow-Chisley
Title
Ceo
Phone
(919) 800-0016

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X

Addresses

Primary practice location

313 US Highway 70 E
Suite E
Garner, NC 27529-4040

Mailing address

313 US Highway 70 E
Suite E
Garner, NC 27529-4040
Phone (919) 800-0016

Other names 1

  • My Goal Our Mission, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
My Goal Our Mission6 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": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1629399969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 US HIGHWAY 70 E",
            "address_2": "SUITE E",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294040",
            "telephone_number": "919-800-0016",
            "fax_number": "919-800-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 US HIGHWAY 70 E",
            "address_2": "SUITE E",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294040",
            "telephone_number": "919-800-0016",
            "fax_number": "919-800-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GOAL OUR MISSION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "BRISTOW-CHISLEY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-800-0016",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Goal Our Mission, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.