NPIMap

Organization Active NPI

Gha Autism Supports

Doing business as Tanglewood Home

  • Community/Behavioral Health Agency
  • Albemarle, NC
National Provider Identifier
1851712988
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GHA AUTISM SUPPORTS
Doing business as
Tanglewood Home
Practice address
2406 Tanglewood Dr
Albemarle, NC 28001-6713
Phone
(704) 982-9600
Fax
(704) 982-8155
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Dawn Harwood Allen
Title
Cfo
Phone
(704) 982-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2406 Tanglewood Dr
Albemarle, NC 28001-6713

Mailing address

213 N 2ND St
Albemarle, NC 28001-3939
Phone (704) 982-9600

Other practice location 1

705 N Central Ave
Locust, NC 28097-7134
Phone (704) 982-9600 ext. 113

Other identifiers 1

IdentifierTypeStateIssuer
3408844MedicaidNC

Other names 1

  • Tanglewood Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gha Autism Supports31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1851712988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N 2ND ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013939",
            "telephone_number": "704-982-9600",
            "fax_number": "704-982-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 TANGLEWOOD DR",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280016713",
            "telephone_number": "704-982-9600",
            "fax_number": "704-982-8155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Locust",
            "state": "NC",
            "postal_code": "280977134",
            "country_code": "US",
            "telephone_number": "704-982-9600 x113",
            "fax_number": "704-982-8155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GHA AUTISM SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "HARWOOD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-982-9600"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408844",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tanglewood Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.