NPIMap

Organization Active NPI

Noa Human Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winston Salem, NC
National Provider Identifier
1770895229
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NOA HUMAN SERVICES LLC
Practice address
4420 Edrem Ave
Winston Salem, NC 27101-2108
Phone
(336) 602-2534
Fax
(336) 602-2534
NPI assigned
Jul 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Obinna O Ikwechegh
Title
Owner
Phone
(336) 602-2534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4420 Edrem Ave
Winston Salem, NC 27101-2108

Mailing address

PO Box 1073
Winston Salem, NC 27102-1073
Phone (336) 602-2534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1770895229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1073",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271021073",
            "telephone_number": "336-602-2534",
            "fax_number": "336-602-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 EDREM AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012108",
            "telephone_number": "336-602-2534",
            "fax_number": "336-602-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOA HUMAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "IKWECHEGH",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-602-2534"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.