NPIMap

Organization Active NPI

Howell Support Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kinston, NC
National Provider Identifier
1710037825
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-054-008 Issued in NC
Legal business name
HOWELL SUPPORT SERVICES
Practice address
900 Roseanne Dr
Kinston, NC 28504-1514
Phone
(252) 523-4542
Fax
(919) 523-0801
NPI assigned
Jan 11, 2007
Last updated
Nov 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Mr. Jerald T Howell
Title
Ceo
Phone
(919) 778-1506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-054-008 NC Primary

Addresses

Primary practice location

900 Roseanne Dr
Kinston, NC 28504-1514

Mailing address

PO Box 10946
Goldsboro, NC 27532-0946
Phone (919) 778-1506

Other identifiers 1

IdentifierTypeStateIssuer
3416321MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Howell Support Services20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1710037825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10946",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275320946",
            "telephone_number": "919-778-1506",
            "fax_number": "919-778-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROSEANNE DR",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285041514",
            "telephone_number": "252-523-4542",
            "fax_number": "919-523-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWELL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-778-1506",
        "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-054-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416321",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.