NPIMap

Organization Active NPI

Harold Randolph

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1891186292
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
21160 Issued in NC
Legal business name
HAROLD RANDOLPH
Practice address
902 Colonial Ave
Greenville, NC 27834-1825
Phone
(252) 916-3173
NPI assigned
Feb 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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

Authorized official

Name
Mr. James Harold Randolph, LCAS-ANPI 1194190074
Title
Owner
Phone
(252) 916-3173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 21160 NC Primary

Addresses

Primary practice location

902 Colonial Ave
Greenville, NC 27834-1825

Mailing address

902 Colonial Ave
Greenville, NC 27834-1825
Phone (252) 916-3173

Other names 1

  • AGAPE Other name

National Provider Directory

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": "1423267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423267200000",
    "number": "1891186292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 COLONIAL AVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341825",
            "telephone_number": "252-916-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 COLONIAL AVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341825",
            "telephone_number": "252-916-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD RANDOLPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-07",
        "last_updated": "2015-02-07",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-916-3173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCAS-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "21160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGAPE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; 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.