Organization Active NPI

HHDM, Inc.

  • Methadone Clinic
  • Clayton, NC
National Provider Identifier
1851619258
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
MHL051177 Issued in NC
Legal business name
HHDM, INC.
Practice address
1699 Old US 70 Hwy W
Clayton, NC 27520-6566
Phone
(919) 359-1699
Fax
(919) 359-1697
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Mrs. Jennifer Howard Davison
Title
Program Director
Phone
(919) 359-1699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X MHL051177 NC Primary

Addresses

Primary practice location

1699 Old US 70 Hwy W
Clayton, NC 27520-6566

Mailing address

1699 Old US Highway 70 West
Clayton, NC 27520
Phone (919) 359-1699

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNC

Other names 1

  • Johnston Recovery Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200204002740 NC Part B Supplier - Opioid Treatment Program (Otp) 2860828134 Practice locations: Clayton, NC

National Provider Directory

National Provider Directory
Tax ID family
HHDM Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1851619258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 OLD US HIGHWAY 70 WEST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-359-1699",
            "fax_number": "919-359-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 OLD US 70 HWY W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275206566",
            "telephone_number": "919-359-1699",
            "fax_number": "919-359-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHDM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "919-359-1699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NC",
            "license": "MHL051177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.