NPIMap

Organization Active NPI

The Emmanuel Home III

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1639213846
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL092579 Issued in NC
Legal business name
THE EMMANUEL HOME III
Practice address
5212 Sweetbriar Dr
Raleigh, NC 27609-4544
Phone
(919) 231-2981
Fax
(919) 231-2982
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Ms. Shabrittany A Dowtin
Title
Manager
Phone
(919) 231-2981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL092579 NC Primary

Addresses

Primary practice location

5212 Sweetbriar Dr
Raleigh, NC 27609-4544

Mailing address

PO Box 26153
Raleigh, NC 27611-6153
Phone (919) 231-2981

Other identifiers 1

IdentifierTypeStateIssuer
7805005MedicaidNC

Other names 1

  • E D Emmanuel Homes,LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dowtin'S Therapeutic Home6 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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1639213846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26153",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276116153",
            "telephone_number": "919-231-2981",
            "fax_number": "919-231-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 SWEETBRIAR DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094544",
            "telephone_number": "919-231-2981",
            "fax_number": "919-231-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMMANUEL HOME III",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "DOWTIN",
        "authorized_official_first_name": "SHABRITTANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-231-2981",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL092579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805005",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E D Emmanuel Homes,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

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