My Brother's Keeper of Wayne County, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MY BROTHER'S KEEPER OF WAYNE COUNTY, LLC

Practice address

200 W Ash St
Ste 109
Goldsboro, NC 27530-3662

Phone

(919) 731-4455

NPI assigned

Dec 26, 2013

Last updated

Dec 26, 2013By 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

Ms. Marlena CoxNPI 1629499223

Title

Ceo/Qualified Professional

Phone

(919) 731-4455

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marlena Cox

  • Case Manager/Care Coordinator
  • Goldsboro, NC
  • NPI 1629499223
  NPD (past) Authorized official

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1891116562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ASH ST",
            "address_2": "STE 109",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303662",
            "telephone_number": "919-731-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ASH ST",
            "address_2": "STE 109",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303662",
            "telephone_number": "919-731-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BROTHER'S KEEPER OF WAYNE COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "CEO/QUALIFIED PROFESSIONAL",
        "authorized_official_telephone_number": "919-731-4455",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najibullah Muradi, M.D.
• Guadalupe Murillo
• Barbara Lynn Murphy Boyd
• Henry Von Murray III, DDS
• Jessica Lynn Murray, DO, MPH
• Catherine Myers
• Ward Joseph Myers, M.D.
• Nackley Chiropractic, PA
• Linda Diane Nagel, D.D.S.
• Kelly Lynette Nail, LCSW

• Community/Behavioral Health Agency in Goldsboro, NC
• Providers in Goldsboro, 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 26, 2013; 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.