Garrisons Family Care Home Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL092517 Issued in NC

Legal business name

GARRISONS FAMILY CARE HOME INC

Practice address

4333 Durham Rd
Raleigh, NC 27614-8134

Phone

(919) 847-5248

Fax

(919) 847-5248

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Delilah Jackson Garrison, RN BSN

Title

Owner Operator

Phone

(919) 847-5248

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1669678355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 DURHAM RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148134",
            "telephone_number": "919-847-5248",
            "fax_number": "919-847-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 DURHAM RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148134",
            "telephone_number": "919-847-5248",
            "fax_number": "919-847-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISONS FAMILY CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "DELILAH",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "919-847-5248",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL092517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804710",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazel Gray Garrish, MD
• Edward Garrison, LCAS-A
• Julia Virginia Garrison, CRNA
• Patricia Kay Garrison, MPT
• Scott Garrison, MD
• Megan Cheek Garriss, MA, LPC, NCC
• Teresa Wachter Garrity, SLP
• Sarah Jonas Garro, RN, NNP-BC
• Rachel Anne Garrou
• Janice Ellis Garside, PHARMD

• Mental Illness Community Based Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.