Supportive Homes Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUPPORTIVE HOMES INC.

Practice address

120 Roper St
Belmont, NC 28012-2119

Phone

(704) 214-2094

NPI assigned

Nov 23, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Geneva Moore

Title

Executive Director

Phone

(704) 214-2094

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542931200000",
    "number": "1902375645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ROPER ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122119",
            "telephone_number": "704-214-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ROPER ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122119",
            "telephone_number": "704-214-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-11-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-214-2094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Belmont, NC
• Providers in Belmont, 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 Nov 23, 2018; 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.