NPIMap

Organization Active NPI

Port Human Services

  • Community/Behavioral Health Agency
  • Elizabeth City, NC
National Provider Identifier
1659664548
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-070-053 Issued in NC
Legal business name
PORT HUMAN SERVICES
Practice address
1409 Parkview Dr
Elizabeth City, NC 27909-6533
Phone
(252) 331-6546
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Thomas Oliver Savidge
Title
Ceo
Phone
(252) 830-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-070-053 NC Primary

Addresses

Primary practice location

1409 Parkview Dr
Elizabeth City, NC 27909-6533

Mailing address

4300-110 Sapphire Court
Greenville, NC 27834-9019
Phone (252) 830-7540

National Provider Directory

National Provider Directory
Tax ID family
Port Health Services38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

1409 Parkview Dr
Elizabeth City, NC 27909
Phone (252) 331-6546

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1659664548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300-110 SAPPHIRE COURT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349019",
            "telephone_number": "252-830-7540",
            "fax_number": "252-413-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 PARKVIEW DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096533",
            "telephone_number": "252-331-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "SAVIDGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-830-7540"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-070-053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 25, 2011; 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.