Home of the Brave, Veterans Transitional Housing

Key facts

NPI

1821740259

Entity type

Organization (NPI type 2)

Primary specialty

Lodging Provider 177F00000X

Legal business name

HOME OF THE BRAVE, VETERANS TRANSITIONAL HOUSING

Practice address

106 Fox LN
Moyock, NC 27958-9481

Phone

(757) 559-4522

NPI assigned

Jan 26, 2022

Organization subpart

No

Authorized official

Name

Ms. Michelle M. Waldron

Title

Director

Phone

(757) 559-4522

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 28, 2022.

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1821740259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FOX LN",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279589481",
            "telephone_number": "757-559-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FOX LN",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279589481",
            "telephone_number": "757-559-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF THE BRAVE, VETERANS TRANSITIONAL HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-559-4522",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moyock, NC

• Claudia Hartmann
• Katherine Helepololei
• Angel Hines
• Mark J Hippenstiel, M.D.
• Arthur Ross Hohn
• Hometown Med of Moyock and Obx PLLC
• Daphnee Hostetter
• Alina Hubbard
• Stacey Lynn Hyles, A.R.N.P
• Inner Banks Health Services Inc.

All providers in Moyock, NC · Lodging Provider in North Carolina