Organization Active NPI

Harrison Group Homes LLC

  • Adult Mental Health Clinic/Center
  • Raleigh, NC
National Provider Identifier
1730576992
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MHL-092-899 Issued in NC
Legal business name
HARRISON GROUP HOMES LLC
Practice address
2609 Fernbrook Rd
Raleigh, NC 27610-3507
Phone
(919) 301-8044
Fax
(919) 615-3267
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Mr. Uchenna Harrison Enyinnaya
Title
Administrator
Phone
(919) 301-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MHL-092-899 NC Primary

Addresses

Primary practice location

2609 Fernbrook Rd
Raleigh, NC 27610-3507

Mailing address

2609 Fernbrook Rd
Raleigh, NC 27610-3507
Phone (919) 301-8044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1730576992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 FERNBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103507",
            "telephone_number": "919-301-8044",
            "fax_number": "919-615-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 FERNBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103507",
            "telephone_number": "919-301-8044",
            "fax_number": "919-615-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON GROUP HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "ENYINNAYA",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-301-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-092-899",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 24, 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.