Amani Residential Human Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-058-022 Issued in NC

Legal business name

AMANI RESIDENTIAL HUMAN SERVICES

Practice address

312 West Blvd
Williamston, NC 27892-2146

Phone

(252) 799-0600

Fax

(252) 799-0644

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jefferey Roberts, BS, QP

Title

Ceo

Phone

(252) 799-0600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1790926137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WEST BLVD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922146",
            "telephone_number": "252-799-0600",
            "fax_number": "252-799-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 WEST BLVD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922146",
            "telephone_number": "252-799-0600",
            "fax_number": "252-799-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI RESIDENTIAL HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JEFFEREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-799-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-058-022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Williamston, NC
• Providers in Williamston, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.