NPIMap

Organization Active NPI

Johnston County Group Homes, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Pine Level, NC
National Provider Identifier
1841496015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
MHL-051-113 Issued in NC
Legal business name
JOHNSTON COUNTY GROUP HOMES, INC.
Practice address
505 West Blanche St.
Pine Level, NC 27568
Phone
(919) 965-0158
Fax
(919) 965-0158
NPI assigned
Jun 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janet Gail Harper
Title
Administrator
Phone
(919) 965-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-051-113 NC Primary

Addresses

Primary practice location

505 West Blanche St.
Pine Level, NC 27568

Mailing address

PO Box 1768
Smithfield, NC 27577-1768
Phone (919) 965-0340

Other identifiers 2

IdentifierTypeStateIssuer
7804465MedicaidNC
3408949MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Johnston County Group Homes Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841496015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1768",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275771768",
            "telephone_number": "919-965-0340",
            "fax_number": "919-965-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WEST BLANCHE ST.",
            "city": "PINE LEVEL",
            "state": "NC",
            "postal_code": "27568",
            "telephone_number": "919-965-0158",
            "fax_number": "919-965-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON COUNTY GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-965-0340"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-051-113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804465",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408949",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Level, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.