NPIMap

Organization Active NPI

Advanced Health Resources

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1720377138
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ADVANCED HEALTH RESOURCES
Practice address
10940 Raven Ridge Rd Ste 210
Raleigh, NC 27614-6611
Phone
(919) 465-3277
Fax
(919) 465-3222
NPI assigned
Apr 6, 2011
Last updated
Feb 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Mr. Jeffrey S. Jenkins
Title
Executive Director
Phone
(919) 465-3277

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10940 Raven Ridge Rd Ste 210
Raleigh, NC 27614-6611

Mailing address

10940 Raven Ridge Rd Ste 210
Raleigh, NC 27614-6611
Phone (919) 465-3277

Other identifiers 1

IdentifierTypeStateIssuer
3419122MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Advanced Health Resources41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1720377138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 RAVEN RIDGE RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146611",
            "telephone_number": "919-465-3277",
            "fax_number": "919-465-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 RAVEN RIDGE RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146611",
            "telephone_number": "919-465-3277",
            "fax_number": "919-465-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-465-3277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419122",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.