NPIMap

Organization Active NPI

Tar Heel Habilitation Services, LLC

Doing business as John's House

  • Developmentally Disabled Services Day Training Agency
  • Salisbury, NC
National Provider Identifier
1932336500
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TAR HEEL HABILITATION SERVICES, LLC
Doing business as
John's House
Practice address
1301 W Monroe St
Salisbury, NC 28144-3935
Phone
(317) 366-6082
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Mr. Andre' Paul Gaston, J.D.
Title
Chief Executive Officer
Phone
(317) 366-6082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC Primary

Addresses

Primary practice location

1301 W Monroe St
Salisbury, NC 28144-3935

Mailing address

1301 W Monroe St
Salisbury, NC 28144-3935
Phone (317) 366-6082

Other names 1

  • John's House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina Health Day Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1932336500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W MONROE ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281443935",
            "telephone_number": "317-366-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W MONROE ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281443935",
            "telephone_number": "317-366-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAR HEEL HABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "ANDRE'",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "317-366-6082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John's House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.