Harbor Houses of Jackson, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HARBOR HOUSES OF JACKSON, INC.

Doing business as

Harbor House Chemical Dependency Services

Practice address

5354 I 55 S
Jackson, MS 39272-9119

Phone

(601) 714-1640

Fax

(601) 371-3272

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Milton Trost Friedler, LA CPA

Title

Executive Director

Phone

(601) 714-1640

Specialties & licenses 1

Addresses

Other names 1

• Harbor House Chemical Dependency Services Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1669603593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2917",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392072917",
            "telephone_number": "601-714-1640",
            "fax_number": "601-371-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 I 55 S",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392729119",
            "telephone_number": "601-714-1640",
            "fax_number": "601-371-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOUSES OF JACKSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDLER",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "TROST",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-714-1640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LA CPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor House Chemical Dependency Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Russell Haralson, NURSE PRACTITIONER
• Yathish Haralur Sreekantaiah, M.D
• Allen McNeil Haraway, M.D.
• Angie S Haraway, NP-C
• Claude Franklin Harbarger, M.D.
• Jo Luresa Harbour, MD
• Kaleigh Harbour, FLIGHT RN, NRP
• Kyla Nichole Harbuck, DO
• Elizabeth Hardin, PA-C
• Gloria E Hardin, LCSW

• Substance Abuse Rehabilitation Facility in Jackson, MS
• Providers in Jackson, MS by specialty
• Substance Abuse Rehabilitation Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.