NPIMap

Organization Active NPI

Outer Banks Haven, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Nags Head, NC
National Provider Identifier
1902094543
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0372 Issued in NC
Legal business name
OUTER BANKS HAVEN, INC.
Doing business as
BRITTHAVEN OF OUTER BANKS
Practice address
430 W Health Center Dr
Nags Head, NC 27959-8943
Phone
(252) 441-3116
Fax
(252) 441-0247
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mr. Norwood Randolph Uzzell
Title
President
Phone
(252) 523-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0372 NC Primary

Addresses

Primary practice location

430 W Health Center Dr
Nags Head, NC 27959-8943

Mailing address

430 W Health Center Dr
Nags Head, NC 27959-8943
Phone (252) 441-3116

Other identifiers 1

IdentifierTypeStateIssuer
3406309MedicaidNC

Other names 1

  • BRITTHAVEN OF OUTER BANKS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Britthaven of Outer Banks3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1902094543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W HEALTH CENTER DR",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598943",
            "telephone_number": "252-441-3116",
            "fax_number": "252-441-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W HEALTH CENTER DR",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598943",
            "telephone_number": "252-441-3116",
            "fax_number": "252-441-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTER BANKS HAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "UZZELL",
        "authorized_official_first_name": "NORWOOD",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRITTHAVEN OF OUTER BANKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.