NPIMap

Organization Active NPI

My Savior Family Care Home Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greenville, NC
National Provider Identifier
1659419281
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL074153 Issued in NC
Legal business name
MY SAVIOR FAMILY CARE HOME INC
Practice address
100 Adams Blvd
Greenville, NC 27858-4815
Phone
(252) 347-4451
Fax
(252) 321-4829
NPI assigned
Feb 4, 2007
Organization subpart
Yes
Parent organization
PEOPLE OF PURPOSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mrs. Nancy B. Boone
Title
Ceo
Phone
(252) 347-4451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL074153 NC Primary

Addresses

Primary practice location

100 Adams Blvd
Greenville, NC 27858-4815

Mailing address

755 Johns Hopkins Dr
Greenville, NC 27834-7221
Phone (252) 347-4451

Other identifiers 1

IdentifierTypeStateIssuer
6604100MedicaidNC

Other names 1

  • People of Purpose Doing business as

National Provider Directory

National Provider Directory
Tax ID family
People of Purpose3 organizations share this tax ID, including this one
Part of
People of Purpose

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1659419281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347221",
            "telephone_number": "252-347-4451",
            "fax_number": "252-321-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ADAMS BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584815",
            "telephone_number": "252-347-4451",
            "fax_number": "252-321-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SAVIOR FAMILY CARE HOME INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEOPLE OF PURPOSE",
        "enumeration_date": "2007-02-04",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-347-4451",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL074153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604100",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "People of Purpose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

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