Active NPI
Quality Concept Inc.
Doing business as Emmaus Enterprises
- Health Maintenance Organization
- Dudley, NC
National Provider Identifier
1851428858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- MHL-096-106
- Legal business name
- QUALITY CONCEPT INC.
- Doing business as
- Emmaus Enterprises
- Practice address
- 1219 Emmaus Church Rd
Dudley, NC 28333-6225 - Phone
- (919) 735-1410
- Fax
- (919) 658-8037
- NPI assigned
- Feb 27, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Erthel Anderson Jr.
- Title
- Owner
- Phone
- (919) 344-3216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | MHL-096-106 | NC | Primary |
Addresses
Primary practice location
1219 Emmaus Church Rd
Dudley, NC 28333-6225
Mailing address
1219 Emmaus Church Rd
Dudley, NC 28333-6225
Phone (919) 735-1410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301143 | Medicaid | NC | |
| 7804684 | Medicaid | NC |
Other names 1
- Emmaus Enterprises
National Provider Directory
National Provider Directory- Tax ID family
- Emmaus Enterprises
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Dudley, NC
- NPI 1295949592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851428858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 EMMAUS CHURCH RD",
"city": "DUDLEY",
"state": "NC",
"postal_code": "283336225",
"telephone_number": "919-735-1410",
"fax_number": "919-658-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 EMMAUS CHURCH RD",
"city": "DUDLEY",
"state": "NC",
"postal_code": "283336225",
"telephone_number": "919-735-1410",
"fax_number": "919-658-8037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY CONCEPT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ERTHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-344-3216",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NC",
"license": "MHL-096-106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301143",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804684",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Emmaus Enterprises",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dudley, 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.