Joshua's House

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-030-027 Issued in NC

Legal business name

JOSHUA'S HOUSE

Practice address

139 Oakridge LN
Mocksville, NC 27028-5663

Phone

(336) 492-7033

Fax

(336) 492-7033

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By 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

Mrs. Victoria Jackson

Title

Administrator

Phone

(336) 995-5219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1801071618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 OAKRIDGE LANE",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270285663",
            "telephone_number": "336-492-7033",
            "fax_number": "336-492-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 OAKRIDGE LN",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270285663",
            "telephone_number": "336-492-7033",
            "fax_number": "336-492-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-995-5219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-030-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason a. Caputo, D.D.S., P.a. (Mocksville Family Dentistry)
• JFC Meridian Opco-Mocksville (Somerset Court of Mocksville)
• Gregory Terence Johnson, LCSW
• Brittany Jones
• Sharon Jones
• Elizabeth Karels, M.A. CCC-SLP
• Kevin Chavez DMD - Mocksville, PLLC
• Kevin J. Armbrecht, D.D.S., P.a.
• Kidney Nutrition Care Center LLC
• Michael Warren Kilby, M.D.

• Mental Illness Community Based Residential Treatment Facility in Mocksville, NC
• Providers in Mocksville, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.