NPIMap

Organization Active NPI

Greater Image Healthcare, Inc.

  • Health Maintenance Organization
  • Fayetteville, NC
National Provider Identifier
1710350343
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
GREATER IMAGE HEALTHCARE, INC.
Practice address
401 Robeson St
Fayetteville, NC 28301-5635
Phone
(910) 321-0069
Fax
(910) 491-1000
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Mrs. Debra D Kemp-Hendricks, LCAS-R
Title
Substance Abuse Counselor
Phone
(910) 321-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NC Primary

Addresses

Primary practice location

401 Robeson St
Fayetteville, NC 28301-5635

Mailing address

401 Robeson St
Fayetteville, NC 28301-5635
Phone (910) 321-0069

National Provider Directory

National Provider Directory
Tax ID family
Greater Image HC3 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.

Locations

401 Robeson St
Fayetteville, NC 28301
Phone (910) 321-0069

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1710350343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROBESON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015635",
            "telephone_number": "910-321-0069",
            "fax_number": "910-491-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROBESON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015635",
            "telephone_number": "910-321-0069",
            "fax_number": "910-491-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER IMAGE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "KEMP-HENDRICKS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "910-321-0069",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCAS-R"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.