Organization Active NPI

Emmaus Puritan Apostolic Baptist

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1659798403
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMMAUS PURITAN APOSTOLIC BAPTIST
Practice address
125 W Belle St
Henderson, NC 27536-4503
Phone
(919) 417-6768
Fax
(252) 430-3738
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Lent Christopher Carr Jr., PH.D, S.TH., C.ED.
Title
Supervisory Chaplain/Counselor
Phone
(919) 417-6768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

125 W Belle St
Henderson, NC 27536-4503

Mailing address

125 W Belle St
Henderson, NC 27536-4503
Phone (919) 417-6768

Other names 1

  • Emmaus Corp. Counseling Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1659798403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W BELLE ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364503",
            "telephone_number": "919-417-6768",
            "fax_number": "252-430-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W BELLE ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364503",
            "telephone_number": "919-417-6768",
            "fax_number": "252-430-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAUS PURITAN APOSTOLIC BAPTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "LENT",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SUPERVISORY CHAPLAIN/COUNSELOR",
        "authorized_official_telephone_number": "919-417-6768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D, S.TH., C.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmaus Corp. Counseling Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.