Organization Active NPI

Manor House Collection, Inc.

  • Orthotic Fitter
  • Raleigh, NC
National Provider Identifier
1659576239
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
Legal business name
MANOR HOUSE COLLECTION, INC.
Doing business as
Pennyrich Bra Patch
Practice address
1603 N Market Dr
Raleigh, NC 27609-6259
Phone
(919) 876-8677
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Ms. Ruth Lewis Dowdy
Title
Owner
Phone
(919) 876-8677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X SINGLE SPECIALTY GROUP 225000000X Primary

Addresses

Primary practice location

1603 N Market Dr
Raleigh, NC 27609-6259

Mailing address

1603 N Market Dr
Raleigh, NC 27609-6259
Phone (919) 876-8677

Other names 1

  • Pennyrich Bra Patch Doing business as

National Provider Directory

National Provider Directory

Locations

1603 N Market Dr
Raleigh, NC 27609
Phone (919) 876-8677

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1659576239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 N MARKET DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096259",
            "telephone_number": "919-876-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 N MARKET DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096259",
            "telephone_number": "919-876-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR HOUSE COLLECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "DOWDY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-876-8677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennyrich Bra Patch",
            "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 Sep 5, 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.