Harris Homes Agency

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-067-143 Issued in NC

Legal business name

HARRIS HOMES AGENCY

Practice address

104 Sterling Rd
Jacksonville, NC 28546-8330

Phone

(910) 353-0124

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Harris

Title

Director Owner

Phone

(910) 554-1355

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Harris Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Harris Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jacksonville, NC
  • NPI 1790981728
  NPD tax ID

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710005517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 STERLING RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468330",
            "telephone_number": "910-353-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 STERLING RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468330",
            "telephone_number": "910-353-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS HOMES AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "910-554-1355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-067-143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301742",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Hardy
• Mary Christine Harness, LCSW
• Melina Harper
• Amanda Harrington, FNP-C
• Harris Home
• Gunner Robert Harris
• Keith A Harris, DDS
• Ralph Scott Harris, CPO
• Uganda Utice Harris, MA, LCMHC-A
• William Harris

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Intellectual and/or Developmental Disabilities 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 Aug 22, 2020; 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.