George Anna House, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL 073-045 Issued in NC

Legal business name

GEORGE ANNA HOUSE, INC.

Practice address

1081 Old Allensville Rd
Roxboro, NC 27574-9562

Phone

(336) 599-8534

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Toni N Johnson, O

Title

Owner

Phone

(757) 224-6852

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1871786855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 GOLDSBORO DR APT 21B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236051343",
            "telephone_number": "757-310-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 OLD ALLENSVILLE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275749562",
            "telephone_number": "336-599-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE ANNA HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-224-6852",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL 073-045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804803",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409542",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Galarde, LCAS-A
• Garrett Optometric Center PA
• Renee Gaskey-Foley, D.D.S.
• Jennifer R Gay, SLP
• Tessa Shoe Gentry, PT
• Mathew George, MD
• Jennifer Gilbert
• Tammy Stewart Gilbert, RPH
• Pushpinder Gill, NP
• Michael J Godard, DO

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.