Organization Active NPI

HHDM, Inc.

Doing business as Johnston Recovery Services

  • Community/Behavioral Health Agency
  • Clayton, NC
National Provider Identifier
1679877054
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL051177 Issued in NC
Legal business name
HHDM, INC.
Doing business as
Johnston Recovery Services
Practice address
1699 Old US 70 Hwy W
Clayton, NC 27520-6566
Phone
(919) 359-1699
Fax
(919) 359-1697
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Mrs. Jennifer H. Davison
Title
Program Director
Phone
(919) 359-1699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL051177 NC Primary

Addresses

Primary practice location

1699 Old US 70 Hwy W
Clayton, NC 27520-6566

Mailing address

1699 Old US 70 Hwy W
Clayton, NC 27520-6566
Phone (919) 359-1699

Other names 1

  • Johnston Recovery Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HHDM Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1679877054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 OLD US 70 HWY W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275206566",
            "telephone_number": "919-359-1699",
            "fax_number": "919-359-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 OLD US 70 HWY W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275206566",
            "telephone_number": "919-359-1699",
            "fax_number": "919-359-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHDM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "919-359-1699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL051177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.