Onslow Community Outreach

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

ONSLOW COMMUNITY OUTREACH

Practice address

1210 Hargett St
Jacksonville, NC 28540-5933

Phone

(910) 455-5733

NPI assigned

Jan 13, 2022

Organization subpart

No

Name

Angela Kraker

Title

Development Director

Phone

(910) 455-5795

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2022.

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1700537495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 HARGETT ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405933",
            "telephone_number": "910-455-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 HARGETT ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405933",
            "telephone_number": "910-455-5733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Doctors Dr Ste L",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466308",
            "country_code": "US",
            "telephone_number": "910-346-6149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 DeWitt St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285405623",
            "country_code": "US",
            "telephone_number": "910-219-1399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONSLOW COMMUNITY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "KRAKER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DEVELOPMENT DIRECTOR",
        "authorized_official_telephone_number": "910-455-5795"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jacksonville, NC
• Lodging Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.