Organization Active NPI

PHP of NC,Inc

  • Developmentally Disabled Services Day Training Agency
  • Zebulon, NC
National Provider Identifier
1932531720
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PHP OF NC,INC
Practice address
700 Pony Rd Ste B
Zebulon, NC 27597-2656
Phone
(919) 375-4702
Fax
(919) 375-4838
NPI assigned
Aug 2, 2013
Organization subpart
Yes
Parent organization
PHP OF NC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Mrs. Justine Wiggins
Title
Ceo
Phone
(919) 220-0021

Specialties & licenses 1

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

Addresses

Primary practice location

700 Pony Rd Ste B
Zebulon, NC 27597-2656

Mailing address

700 Pony Rd Ste B
Zebulon, NC 27597-2656
Phone (919) 375-4702

National Provider Directory

National Provider Directory
Tax ID family
Athens Place6 organizations share this tax ID, including this one
Part of
Athens Place

Other organizations with this tax ID 5

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

Locations

700 Pony Rd
Ste B
Zebulon, NC 27597
Phone (919) 375-4702

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1932531720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PONY RD STE B",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972656",
            "telephone_number": "919-375-4702",
            "fax_number": "919-375-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PONY RD STE B",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972656",
            "telephone_number": "919-375-4702",
            "fax_number": "919-375-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHP OF NC,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHP OF NC, INC",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-220-0021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zebulon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.