Organization Active NPI

Herbert Reid Home Inc

  • Mental Health Counselor
  • Holly Springs, NC
National Provider Identifier
1669529228
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
092399 Issued in NC
Legal business name
HERBERT REID HOME INC
Practice address
3733 Heritage Meadow Lane
Herbert Reid Home Inc
Holly Springs, NC 27540
Phone
(919) 961-1922
Fax
(919) 363-5312
NPI assigned
Jan 5, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
HERBERT REID HOME INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Herbert Reid
Title
President
Phone
(919) 961-1922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 092399 NC Primary

Addresses

Primary practice location

3733 Heritage Meadow Lane
Herbert Reid Home Inc
Holly Springs, NC 27540

Mailing address

PO Box 1057
Herbert Reid Home Inc
Holly Springs, NC 27540
Phone (919) 961-1922

Other identifiers 1

IdentifierTypeStateIssuer
3409159MedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2320329Herbert Reid Home Inc3733 Heritage Meadow Lane, Holly Springs, NC 27540Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory
Part of
Herbert Reid Home Inc

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1669529228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1057",
            "address_2": "HERBERT REID HOME INC",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "27540",
            "telephone_number": "919-961-1922",
            "fax_number": "919-363-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 HERITAGE MEADOW LANE",
            "address_2": "HERBERT REID HOME INC",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "27540",
            "telephone_number": "919-961-1922",
            "fax_number": "919-363-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT REID HOME INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERBERT REID HOME INC",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-961-1922"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "092399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409159",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.