Sarahs Place 2ND Street

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-042-046 Issued in NC

Legal business name

SARAHS PLACE 2ND STREET

Doing business as

Sarahs Place Day Program

Practice address

124 E 2ND St
Weldon, NC 27890-1552

Phone

(252) 532-5554

NPI assigned

Mar 16, 2007

Last updated

Dec 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Goldie Johnson Gilmore

Title

Executive Director

Phone

(252) 536-2316

Specialties & licenses 1

Addresses

Other names 1

• Sarahs Place Day Program Doing business as

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230336000000",
    "number": "1861516833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E 2ND ST",
            "city": "WELDON",
            "state": "NC",
            "postal_code": "278901552",
            "telephone_number": "252-532-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 2ND ST",
            "city": "WELDON",
            "state": "NC",
            "postal_code": "278901552",
            "telephone_number": "252-532-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAHS PLACE 2ND STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-12-27",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "GOLDIE",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-536-2316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-042-046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarahs Place Day Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roanoke Valley Adult Day Center
• Rural Health Group Inc
• Rural Health Group, Inc. (Rural Health Group at Weldon)
• Sadaf, LLC
• Sarah's Place (Sarah's Place Residential Support)
• Denisha Simmons
• Alyssa Smith
• Cassandra D Storey, PA-C
• Uplift Comprehensive Services
• Weldon City Schools

• Community/Behavioral Health Agency in Weldon, NC
• Providers in Weldon, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; 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.